医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2013年
20期
158-159
,共2页
恶性骨肿瘤%营养评价%营养风险筛选%相关性
噁性骨腫瘤%營養評價%營養風險篩選%相關性
악성골종류%영양평개%영양풍험사선%상관성
Malignant bone tumor%Nutrition evaluation%Nutrition risk screening%Correlation
目的分析恶性骨肿瘤患者的营养评价与营养风险筛查之间的相关性关系。方法运用营养评价与风险筛查的方法对90例恶性骨肿瘤患者进行测量与筛查,其中营养评价包括患者的实际体重、身高、血清白蛋白浓度等,另外对理想体重和平时体重进行查询,计算体质指数(BMI)、实际体重与平时体重的比例(%UBW)、实际体重与理想体重的比例(%IBM),符合下列标准之一的为营养不良:①BMI<18.5;②%UBM或IBM≤90%;③血清Alb浓度<35g/L。营养风险筛查其中64例患者NRS≥3分,26例患者NRS<3分。 NRS≥3分的患者中有根据化疗前是否进行静脉营养支持分别分为实验组和对照组,每组32例,测量患者入院及化疗后第4d的体质量指数,分别对化疗前及化疗后第2、7、10d的IgA、血清白蛋白及外周血白细胞进行检测。结果在化疗10d后NRS阴性组体质量指数为(24.2±2.48)kg/m2,NRS阳性组为(20.7±2.43)kg/m2,实验组为(21.9±3.11)kg/m2,对照组为(19.8±2.56)kg/m2,P<0.05。化疗后第7d和第4dIgA、血清白蛋白及外周血白细胞计数均比对照组要高。结论合理的营养评价与支持能够有效增加营养物质准备,增强免疫能力,营养风险筛查能够有效预测营养不良风险。
目的分析噁性骨腫瘤患者的營養評價與營養風險篩查之間的相關性關繫。方法運用營養評價與風險篩查的方法對90例噁性骨腫瘤患者進行測量與篩查,其中營養評價包括患者的實際體重、身高、血清白蛋白濃度等,另外對理想體重和平時體重進行查詢,計算體質指數(BMI)、實際體重與平時體重的比例(%UBW)、實際體重與理想體重的比例(%IBM),符閤下列標準之一的為營養不良:①BMI<18.5;②%UBM或IBM≤90%;③血清Alb濃度<35g/L。營養風險篩查其中64例患者NRS≥3分,26例患者NRS<3分。 NRS≥3分的患者中有根據化療前是否進行靜脈營養支持分彆分為實驗組和對照組,每組32例,測量患者入院及化療後第4d的體質量指數,分彆對化療前及化療後第2、7、10d的IgA、血清白蛋白及外週血白細胞進行檢測。結果在化療10d後NRS陰性組體質量指數為(24.2±2.48)kg/m2,NRS暘性組為(20.7±2.43)kg/m2,實驗組為(21.9±3.11)kg/m2,對照組為(19.8±2.56)kg/m2,P<0.05。化療後第7d和第4dIgA、血清白蛋白及外週血白細胞計數均比對照組要高。結論閤理的營養評價與支持能夠有效增加營養物質準備,增彊免疫能力,營養風險篩查能夠有效預測營養不良風險。
목적분석악성골종류환자적영양평개여영양풍험사사지간적상관성관계。방법운용영양평개여풍험사사적방법대90례악성골종류환자진행측량여사사,기중영양평개포괄환자적실제체중、신고、혈청백단백농도등,령외대이상체중화평시체중진행사순,계산체질지수(BMI)、실제체중여평시체중적비례(%UBW)、실제체중여이상체중적비례(%IBM),부합하렬표준지일적위영양불량:①BMI<18.5;②%UBM혹IBM≤90%;③혈청Alb농도<35g/L。영양풍험사사기중64례환자NRS≥3분,26례환자NRS<3분。 NRS≥3분적환자중유근거화료전시부진행정맥영양지지분별분위실험조화대조조,매조32례,측량환자입원급화료후제4d적체질량지수,분별대화료전급화료후제2、7、10d적IgA、혈청백단백급외주혈백세포진행검측。결과재화료10d후NRS음성조체질량지수위(24.2±2.48)kg/m2,NRS양성조위(20.7±2.43)kg/m2,실험조위(21.9±3.11)kg/m2,대조조위(19.8±2.56)kg/m2,P<0.05。화료후제7d화제4dIgA、혈청백단백급외주혈백세포계수균비대조조요고。결론합리적영양평개여지지능구유효증가영양물질준비,증강면역능력,영양풍험사사능구유효예측영양불량풍험。
Objective To analyse the malignant bone cancer patients nutrition evaluation and nutrition risk screening of the relationship between the relationship. Methods using nutritional assessment and risk of screening methods on 90 cases of patients with malignant bone tumors measurement and screening,among them including the patient's actual nutrition evaluation weight,height,serum albumin concentration,in addition to ideal weight peace weight inquires the, the calculation of body mass index (BMI), the actual weight and usual y the proportion of weight (% UBW),the actual weight and ideal weight ratio (% IBM), meet the fol owing criteria of for the malnutrition:(1)BMI<18.5;(2)%UBM or 90%or IBM;Serum Alb (35g/L"concentration. Nutrition risk of screening 64 patients NRS quartile 3 points, 26 patients NRS<three points.NRS quartile of 3 points of patients on chemotherapy before it according to parenteral nutrition support group and the control group,were divided into each group 32 people and measurement of admission with chemotherapy and after release of the day's body mass index respectively,the chemotherapy before and after chemotherapy 2,7,10 days of IgA,serum albumin and peripheral white blood cel s for testing. Results in chemotherapy after10days NRS negative groups body mass indexes for(24.2±2.48 kg/m2,NRS positive group for(20.7±2.43kg/m2,the experimental group for(21.9±3.11kg/m2,the control group for(19.8±2.56 kg/m2,P<0.05.The seventh heaven and emperor after chemotherapy release day IgA,serum albumin and peripheral white blood count are higher than the control group. Conclusion the reasonable nutrition evaluation and support can ef ectively increase nutrition material preparation,enhance immunity, nutrition can predict the risk screening malnutrition risk.