CAJ | 학술논문

目的探讨消化道肿瘤患者围手术期营养状态的变化.方法入院48 h内和术后7d,采用主观全面营养评估表(subjective global assessment,SGA)对行择期根治性手术的消化道肿瘤患者207例进行调查,并对调查结果进行分析.结果术后7 d与入院48 h内相比,本组消化道肿瘤患者体质量明显降低;SGA评分为中、重度营养不良患者的比例明显增加;其中体质量丢失、饮食改变和活动能力下降是导致围手术期营养状态变化的重要因素.结论消化道肿瘤患者围手术期营养状态均有不同程度的下降,建议根据营养状态变化的特点和影响因素,在住院期间不同阶段进行营养评估,并采取恰当的营养干预和护理措施,以改善临床结局.
목적 탐토소화도종류환자위수술기영양상태적변화.방법 입원48 h내화술후7d,채용주관전면영양평고표(subjective global assessment,SGA)대행택기근치성수술적소화도종류환자207례진행조사,병대조사결과진행분석.결과 술후7 d여입원48 h내상비,본조소화도종류환자체질량명현강저;SGA평분위중、중도영양불량환자적비례명현증가;기중체질량주실、음식개변화활동능력하강시도치위수술기영양상태변화적중요인소.결론 소화도종류환자위수술기영양상태균유불동정도적하강,건의근거영양상태변화적특점화영향인소,재주원기간불동계단진행영양평고,병채취흡당적영양간예화호리조시,이개선림상결국.
Objective To explore the change in nutritional status of perioperative gastrointestinal cancer patients. Methods The nutritional status of 207 gastrointestinal cancer patients who were to undergo elective radical surgery was evaluated by SGA within 48h of admission and 7 days after operation. The investigation results went through analysis. Results Body weight was significantly decreased 7 days after operation compared with 48h of admission, the prevalence of malnutrition 7 days after operation was higher than 48h of admission; weight loss, change of food intake and decreased functional activity were the related factors of change in nutritional status of perioperative gastrointestinal cancer patients. Conclusions There was a decreased nutritional status among perioperative gastrointestinal cancer patients, and appropriate nutrition intervention program and treatment should be taken to improve clinical outcomes according to the risk factors.