CAJ | 학술논문

目的应用患者主观营养评估法(PG-SGA)评估胃癌患者术前营养状况,观察其对我国胃癌患者的适用性及分析与患者术后结局的关系.方法对87例可手术治疗的胃癌患者应用PG-SGA进行术前营养评估,分析其与术后并发症、生存率及住院时长的关系.结果本组可以应用PG-SGA进行营养评估的患者人数占总人数的100％.术前中/重度营养不良者37例(39.1％).术前中/重度营养不良组和无/轻度营养不良组术后总体并发症发病率分别为52.9％和5.7％(P＜0.01),PG-SGA预测术后并发症的灵敏度和特异度分别为85.7％和75.8％.应用多元Logistic回归分析证实,PG-SGA评分是术后并发症的独立危险因素(P＜0.01).术前中/重度营养不良组和无/轻度营养不良组平均住院天数分别为(21 ±6)d和(16±4)d(P＜0.01).结论按照PG-SGA评分,术前中/重度营养不良患者术后更容易发生并发症及住院天数延长,因此对这类患者术前给予适当的营养支持显得格外重要.
목적 응용환자주관영양평고법(PG-SGA)평고위암환자술전영양상황,관찰기대아국위암환자적괄용성급분석여환자술후결국적관계.방법 대87례가수술치료적위암환자응용PG-SGA진행술전영양평고,분석기여술후병발증、생존솔급주원시장적관계.결과 본조가이응용PG-SGA진행영양평고적환자인수점총인수적100％.술전중/중도영양불량자37례(39.1％).술전중/중도영양불량조화무/경도영양불량조술후총체병발증발병솔분별위52.9％화5.7％(P＜0.01),PG-SGA예측술후병발증적령민도화특이도분별위85.7％화75.8％.응용다원Logistic회귀분석증실,PG-SGA평분시술후병발증적독립위험인소(P＜0.01).술전중/중도영양불량조화무/경도영양불량조평균주원천수분별위(21 ±6)d화(16±4)d(P＜0.01).결론 안조PG-SGA평분,술전중/중도영양불량환자술후경용역발생병발증급주원천수연장,인차대저류환자술전급여괄당적영양지지현득격외중요.
Objective To evaluate the preoperative nutritional status of patients with gastric cancer by using patient-generated subjective global assessment (PG-SGA) its relationship with postoperative results.Methods Make a preoperative nutrition assessment by using PG-SGA for 87 patients with gastric carcinoma who can be treated with operation.Analyze the effects of the postoperative complication,survival rate and the hospitalization time on patients.Results The number of patients of this group who can process the preoperative nutrition assessment by using PG-SGA accounts for 100％ of the total.There are 37 patients with moderate or severe malnutrition before operation (account for 39.1％).The complication incidence of patients with moderate or severe malnutrition before operation and the patients with no or mild malnutrition are 52.9％ and 5.7％ separately (P ＜ 0.01).The sensitivity and specificity of PG-SGA score for predicting complications are 85.7％ and 75.8％ respectively.And we should implement the analysis of regression to verify that the PG-SGA grade is the independent risk factor of postoperative complication by applying multiple Logistic(P ＜ 0.01).The average hospital stays of patients with moderate or severe malnutrition before operation and the patients with no or mild malnutrition are (21 ± 6) d and (16 ± 4) d separately (P ＜ 0.01).Conclusion According to the PC-SCA results,patients with moderate or severe malnutrition before operation have increased susceptibility to complication and the extension of hospital stays after the operatiou.Therefore,it is important to supply the proper nutrition support to these patients.