CAJ | 학술논문

目的：评估食管癌放疗患者入院时的营养状况并进行多因素分析，为干预食管癌患者的营养状况提供护理依据。方法选择2012年6月—2013年4月59例进行放疗的食管癌住院患者，运用人体测量指标、实验室检查数据在患者入院时进行营养评估，运用欧洲营养风险筛查工具（ NRS2002）对患者进行营养风险筛查。结果59例食管癌患者放疗前，NRS2002评分≥3分患者17例，28．9％的患者入院时即有营养不良的风险。人体测量指标营养状况评价有46例（78％）的患者存在不同程度的营养不良，其中重度营养不良达28例（47．5％）。生化评价指标营养状况评价有27例（45．7％）患者存在不同程度的营养不良，其中重度营养不良1例（1．7％）。多因素分析性别、文化程度、是否手术、体质量指数、上臂围、上臂肌围、入院时的TLC联合对NRS2002评分产生较大的影响。结论食管癌患者放疗前存在营养不良风险，并已出现身体和生化营养指标的变化，应引起重视。
목적：평고식관암방료환자입원시적영양상황병진행다인소분석，위간예식관암환자적영양상황제공호리의거。방법선택2012년6월—2013년4월59례진행방료적식관암주원환자，운용인체측량지표、실험실검사수거재환자입원시진행영양평고，운용구주영양풍험사사공구（ NRS2002）대환자진행영양풍험사사。결과59례식관암환자방료전，NRS2002평분≥3분환자17례，28．9％적환자입원시즉유영양불량적풍험。인체측량지표영양상황평개유46례（78％）적환자존재불동정도적영양불량，기중중도영양불량체28례（47．5％）。생화평개지표영양상황평개유27례（45．7％）환자존재불동정도적영양불량，기중중도영양불량1례（1．7％）。다인소분석성별、문화정도、시부수술、체질량지수、상비위、상비기위、입원시적TLC연합대NRS2002평분산생교대적영향。결론식관암환자방료전존재영양불량풍험，병이출현신체화생화영양지표적변화，응인기중시。
Objective To assess the nutritional status of hospitalized patients during radiotherapy and conduct multivariate analysis , to provide a basis for intervention in the nutritional status of nursing esophageal cancer patients .Methods From June 2012 to April 2013 , fifty-nine cases of hospitalized patients with esophageal cancer received radiotherapy in our hospital were analyzed , using anthropometric indicators , laboratory data on nutritional assessment of patients at the time of admission , and use of European Nutritional Risk Screening Tool ( NRS2002 ) for patients with nutritional risk screening .Results Of fifty-nine cases of esophageal cancer patients before radiotherapy , 17 patients had a NRS2002 score≥3 points.28.9% patients had the risk of malnutrition when they admitted to hospital .Anthropometric indicators of nutritional assessment indicated that 46 cases (78%) patients had varying degrees of malnutrition . Nutritional assessment of biochemical evaluation indicated that 27 cases (45.7%) patients had varying degrees of malnutrition , within which one patient (1.7%) had severe malnutrition.Multivariate analysis showed that gender , educational level, whether surgery or not , body mass index , arm circumference , arm muscle circumference , TLC when admission had significant impact on the score of NRS 2002 .Conclusions The risks of malnutrition present in esophageal cancer patients before radiotherapy , and have the physical and biochemical changes in nutritional indicators, so attentions should be paid to that .