中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
18期
2165-2167
,共3页
魏娜%毕建军%赵克聪%范静宇%孙海燕
魏娜%畢建軍%趙剋聰%範靜宇%孫海燕
위나%필건군%조극총%범정우%손해연
老年人%直肠肿瘤%营养风险筛查%营养状况
老年人%直腸腫瘤%營養風險篩查%營養狀況
노년인%직장종류%영양풍험사사%영양상황
Elderly patients%Rectal cancer%Nutritional risk screening%Nutritional status
目的 分析营养风险评估对老年直肠癌患者围手术期营养状况的影响.方法 应用营养风险筛查2002 (NRS-2002)对85例老年直肠癌患者进行术前营养风险筛查,根据筛查结果将患者分为有营养风险组25例和无营养风险组60例,分别于术前1d、术后1d、术后7d检测两组患者的白蛋白(ALB)、前白蛋白(PALB)、血总淋巴细胞计数(TLC)和转铁蛋白(TFN),比较其差异.结果 术前85例患者中25例NRS-2002≥3分,存在营养风险,营养风险发生率为29.4％.术前1d两组患者各血清指标比较差异均无统计学意义(P＞0.05)；术后1d,营养风险组PALB为(12.4±3.7)mg/L低于无营养风险组( 14.3±3.9) mg/L,两组比较,差异有统计学意义(t=2.026,P＜0.05)；术后7d营养风险组ALB、TFN值低于无营养风险组,两组比较,差异有统计学意义(t分别为2.412,2.153;P ＜0.05).结论 存在营养风险的老年直肠癌患者围手术期营养状况变化明显,临床护理人员应对该类患者进行相应的营养指导.
目的 分析營養風險評估對老年直腸癌患者圍手術期營養狀況的影響.方法 應用營養風險篩查2002 (NRS-2002)對85例老年直腸癌患者進行術前營養風險篩查,根據篩查結果將患者分為有營養風險組25例和無營養風險組60例,分彆于術前1d、術後1d、術後7d檢測兩組患者的白蛋白(ALB)、前白蛋白(PALB)、血總淋巴細胞計數(TLC)和轉鐵蛋白(TFN),比較其差異.結果 術前85例患者中25例NRS-2002≥3分,存在營養風險,營養風險髮生率為29.4％.術前1d兩組患者各血清指標比較差異均無統計學意義(P＞0.05)；術後1d,營養風險組PALB為(12.4±3.7)mg/L低于無營養風險組( 14.3±3.9) mg/L,兩組比較,差異有統計學意義(t=2.026,P＜0.05)；術後7d營養風險組ALB、TFN值低于無營養風險組,兩組比較,差異有統計學意義(t分彆為2.412,2.153;P ＜0.05).結論 存在營養風險的老年直腸癌患者圍手術期營養狀況變化明顯,臨床護理人員應對該類患者進行相應的營養指導.
목적 분석영양풍험평고대노년직장암환자위수술기영양상황적영향.방법 응용영양풍험사사2002 (NRS-2002)대85례노년직장암환자진행술전영양풍험사사,근거사사결과장환자분위유영양풍험조25례화무영양풍험조60례,분별우술전1d、술후1d、술후7d검측량조환자적백단백(ALB)、전백단백(PALB)、혈총림파세포계수(TLC)화전철단백(TFN),비교기차이.결과 술전85례환자중25례NRS-2002≥3분,존재영양풍험,영양풍험발생솔위29.4％.술전1d량조환자각혈청지표비교차이균무통계학의의(P＞0.05)；술후1d,영양풍험조PALB위(12.4±3.7)mg/L저우무영양풍험조( 14.3±3.9) mg/L,량조비교,차이유통계학의의(t=2.026,P＜0.05)；술후7d영양풍험조ALB、TFN치저우무영양풍험조,량조비교,차이유통계학의의(t분별위2.412,2.153;P ＜0.05).결론 존재영양풍험적노년직장암환자위수술기영양상황변화명현,림상호리인원응대해류환자진행상응적영양지도.
Objective To investigate the effect of nutritional risk to nutritional status of peroperative elderly rectal cancer patients.Methods 85 elderly patients with rectal cancer were screened for preoperative nutritional status by NRS-2002 and divided into nutritional risk group and non-nutritional risk group.ALB,PALB,TLC and TFN of two groups were measured 1day before operation,1day and 7 days after operation.The values were compared between two groups.Results Before operation,25 patients out of 85 were at nutritional risk with NRS-2002≥3 and incidence of nutritional risk of 29.4％.The PALB value of the nutritional risk group was significantly lower than that of the non-nutritional risk group 1day after operation [(12.4±37)mg/L vs ( 14.3 ± 3.9 ) mg/L ;t =2.026,P＜0.05].After 7 days,the average levels of all indexes of the nutritional risk group were lower than those of the non-nutritional risk group.Among those,differences of ALB and TFN values between two groups were significant ( t =2.412,2.153,respectively; P ＜ 0.05 ).Conclusions Perioperative nutritional status of elderly rectal cancer patients at nutritional risk changes conspicuously and should be given relevant nutritional guidance by nurses.
