中国临床营养杂志
中國臨床營養雜誌
중국림상영양잡지
CHINESE JOURNAL OF CLINICAL NUTRITION
2009年
1期
21-23
,共3页
结直肠癌%营养不良%营养风险筛查2002%围手术期
結直腸癌%營養不良%營養風險篩查2002%圍手術期
결직장암%영양불량%영양풍험사사2002%위수술기
Colorectal cancer%Malnutrition%Nutritional Risk Screening 2002%Perioperation
目的 动态评价结直肠癌患者的围手术期营养风险,以期指导临床合理营养支持.方法 选取新人院、未经放疗、化疗处理的结直肠癌患者144例,于术前及术后两周应用营养风险筛查2002(NRS2002)对患者进行营养风险动态评估,同时测定血红蛋白、血清白蛋白、前白蛋白水平及外周血总淋巴细胞计数,并观察术后并发症的发生率.结果 术前有22.91%(33/144)的患者存在营养风险;术前预测术后营养风险发生率为43.06%(62/144),实际测得术后营养风险发生率为54.86%(79/144),后两者的差异具有统计学意义(x2=4.016,P＜0.05).术前营养风险评分≥3分的患者术后出现并发症的发生率为10.13%,评分＜3分的患者术后出现并发症的发生率为1.54%,存在营养风险的患者并发症的发生率显著高于不存在营养风险的患者(X2=3.065,P＜0.05).结论 结直肠癌患者的围手术期营养风险发生率高,尤以术后显著,且存在营养风险的患者易发生术后并发症.
目的 動態評價結直腸癌患者的圍手術期營養風險,以期指導臨床閤理營養支持.方法 選取新人院、未經放療、化療處理的結直腸癌患者144例,于術前及術後兩週應用營養風險篩查2002(NRS2002)對患者進行營養風險動態評估,同時測定血紅蛋白、血清白蛋白、前白蛋白水平及外週血總淋巴細胞計數,併觀察術後併髮癥的髮生率.結果 術前有22.91%(33/144)的患者存在營養風險;術前預測術後營養風險髮生率為43.06%(62/144),實際測得術後營養風險髮生率為54.86%(79/144),後兩者的差異具有統計學意義(x2=4.016,P＜0.05).術前營養風險評分≥3分的患者術後齣現併髮癥的髮生率為10.13%,評分＜3分的患者術後齣現併髮癥的髮生率為1.54%,存在營養風險的患者併髮癥的髮生率顯著高于不存在營養風險的患者(X2=3.065,P＜0.05).結論 結直腸癌患者的圍手術期營養風險髮生率高,尤以術後顯著,且存在營養風險的患者易髮生術後併髮癥.
목적 동태평개결직장암환자적위수술기영양풍험,이기지도림상합리영양지지.방법 선취신인원、미경방료、화료처리적결직장암환자144례,우술전급술후량주응용영양풍험사사2002(NRS2002)대환자진행영양풍험동태평고,동시측정혈홍단백、혈청백단백、전백단백수평급외주혈총림파세포계수,병관찰술후병발증적발생솔.결과 술전유22.91%(33/144)적환자존재영양풍험;술전예측술후영양풍험발생솔위43.06%(62/144),실제측득술후영양풍험발생솔위54.86%(79/144),후량자적차이구유통계학의의(x2=4.016,P＜0.05).술전영양풍험평분≥3분적환자술후출현병발증적발생솔위10.13%,평분＜3분적환자술후출현병발증적발생솔위1.54%,존재영양풍험적환자병발증적발생솔현저고우불존재영양풍험적환자(X2=3.065,P＜0.05).결론 결직장암환자적위수술기영양풍험발생솔고,우이술후현저,차존재영양풍험적환자역발생술후병발증.
Objective To evaluate the perioperative nutritional risk of patients with colorectal cancer. Methods Totally, the nutritional risk of 144 colorectal cancer patients who were newly admitted to our hospital and were radiotherapy-naive or chemotherapy-naive were evaluated using Nutritonal Risk Screening 2002 (NRS2002 ) before operation and two weeks after operation. Meanwhile, hemoglobin, serum levels of albumin and prealbumin, total lymphocyte count were measured and the postoperative complications were observed. Results The incidence of preoperative nutritional risk was 22. 91% (33/144). The predicted incidence of postoperative nutritional risk was 43. 06% (62/144), while the actual incidence was 54. 86% (79/144) (x2 =4. 016, P < 0.05). About 10. 13% of patients whose preoperative nutritional risk score≥3 experienced complications, while only 1. 54% of patients whose preoperative nutritional risk score < 3 had complications (x2 = 3. 065, P < 0.05). Conclusions The perioperative (especially postoperative) nutrition risk is high in patients with colorectal cancer. Patients with higher nutrition risk tend to experience postoperative complications.
