蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
6期
824-826,827
,共4页
刘春芳%叶枫林%顾侠%周静静
劉春芳%葉楓林%顧俠%週靜靜
류춘방%협풍림%고협%주정정
食管肿瘤%营养风险筛查%营养指标
食管腫瘤%營養風險篩查%營養指標
식관종류%영양풍험사사%영양지표
esophageal neoplasms%nutritional risk screening%nutrition index
目的：：运用营养风险筛查表-2002对食管癌术前患者进行营养风险筛查，并结合实验室营养指标检测综合分析患者营养状况及相关影响因素，为临床营养支持提供依据。方法：对62例食管癌术前患者采用营养风险筛查表-2002进行术前营养风险调查，并结合人体营养指标血清视黄醇结合蛋白( RBP)、前白蛋白( PAB)、白蛋白、血红蛋白、红细胞计数进行检测分析。结果：38例(61.29%)患者术前具有营养不良风险，年龄≥60岁者营养不良风险发生率为79.49%；有吞咽困难者营养不良风险发生率为68.63%；logistic回归分析年龄、体质量指数和有无吞咽困难均为术前营养风险相关危险因素(P<0.01)。有营养风险患者RBP、PAB、白蛋白、血红蛋白均明显低于无营养风险患者(P<0.01)；有营养风险患者红细胞计数与无营养风险患者比较差异无统计学意义(P>0.05)。结论：食管癌术前患者存在较高的营养不良风险，医务人员应重点关注有吞咽困难、年龄≥60岁、体质下降、RBP和PAB早期改变者，为患者采取及时有效的营养支持。
目的：：運用營養風險篩查錶-2002對食管癌術前患者進行營養風險篩查，併結閤實驗室營養指標檢測綜閤分析患者營養狀況及相關影響因素，為臨床營養支持提供依據。方法：對62例食管癌術前患者採用營養風險篩查錶-2002進行術前營養風險調查，併結閤人體營養指標血清視黃醇結閤蛋白( RBP)、前白蛋白( PAB)、白蛋白、血紅蛋白、紅細胞計數進行檢測分析。結果：38例(61.29%)患者術前具有營養不良風險，年齡≥60歲者營養不良風險髮生率為79.49%；有吞嚥睏難者營養不良風險髮生率為68.63%；logistic迴歸分析年齡、體質量指數和有無吞嚥睏難均為術前營養風險相關危險因素(P<0.01)。有營養風險患者RBP、PAB、白蛋白、血紅蛋白均明顯低于無營養風險患者(P<0.01)；有營養風險患者紅細胞計數與無營養風險患者比較差異無統計學意義(P>0.05)。結論：食管癌術前患者存在較高的營養不良風險，醫務人員應重點關註有吞嚥睏難、年齡≥60歲、體質下降、RBP和PAB早期改變者，為患者採取及時有效的營養支持。
목적：：운용영양풍험사사표-2002대식관암술전환자진행영양풍험사사，병결합실험실영양지표검측종합분석환자영양상황급상관영향인소，위림상영양지지제공의거。방법：대62례식관암술전환자채용영양풍험사사표-2002진행술전영양풍험조사，병결합인체영양지표혈청시황순결합단백( RBP)、전백단백( PAB)、백단백、혈홍단백、홍세포계수진행검측분석。결과：38례(61.29%)환자술전구유영양불량풍험，년령≥60세자영양불량풍험발생솔위79.49%；유탄인곤난자영양불량풍험발생솔위68.63%；logistic회귀분석년령、체질량지수화유무탄인곤난균위술전영양풍험상관위험인소(P<0.01)。유영양풍험환자RBP、PAB、백단백、혈홍단백균명현저우무영양풍험환자(P<0.01)；유영양풍험환자홍세포계수여무영양풍험환자비교차이무통계학의의(P>0.05)。결론：식관암술전환자존재교고적영양불량풍험，의무인원응중점관주유탄인곤난、년령≥60세、체질하강、RBP화PAB조기개변자，위환자채취급시유효적영양지지。
Objective:To screen the preoperative nutritional risk patients with esophageal carcinoma using Nutritional Risk Screening (NRS) table-2002,comprehensively analyze the nutrition status of the patients and its relative influence factors by NRS table-2002 combined with laboratory detection of nutritional indexes so as to provide evidence for effective nutrition support in clinic. Methods:The preoperative nutritional risks of 62 patients with esophageal carcinoma were investigated using NRS table-2002. The RBP,ALB,Hb and RBC were detected and analyzed. Results:The malnutritional risk in 38 patients(61. 29%) were found,the incidence of malnutritional risk in the patients more than 60 years old and patients with dysphagia were 79. 49% and 68. 63%,respectively. Logistic regression analysis showed that the age,body mass index,dysphagia or not were the related factors of preoperative nutritional risk(P<0. 01). The RBP,PAB,ALB and Hb in the nutritional risk patients were lower than those in the non-nutritional risk patients(P <0. 01). The difference of erythrocytes between the nutritional risk and non-nutritional risk patients was not statistically significant(P >0. 05). Conclusions:The malnutrition risk in the preoperative patients with esophageal carcinoma is high. Medical staff should pay much attention to the dysphasia,equal to or more than 60 years old,physical deterioration and early change of RBP and PAB patients. The timely and effective nutritional support should be provided for the patients.
