CAJ | 학술논문

目的应用主观全面评价(SGA)法对外科病人进行营养评定,并观察围手术期营养支持对胃肠手术病人的效果.方法回顾性总结了76例胃肠手术病人,应用SGA法进行营养状况评定,统计各组围手术期营养支持情况,观察围手术期营养支持对病人血红蛋白、清蛋白、前清蛋白、转铁蛋白、纤维连接蛋白等的影响以及手术并发症等情况.结果应用SGA法评定,34例(44.7%)存在营养不良；与入院时相比,术后血红蛋白明显下降,清蛋白在术后2周内明显下降,前清蛋白在术后2周时明显上升,术后1周转铁蛋白明显下降；各组手术并发症发生率分别为19%、29.6%和14.3%.结论 SGA法可对手术病人进行初步营养评定；围手术期营养支持可改善营养不良的胃肠外科病人的营养状况,但对营养良好的病人效果不明显.
목적응용주관전면평개(SGA)법대외과병인진행영양평정,병관찰위수술기영양지지대위장수술병인적효과.방법회고성총결료76례위장수술병인,응용SGA법진행영양상황평정,통계각조위수술기영양지지정황,관찰위수술기영양지지대병인혈홍단백、청단백、전청단백、전철단백、섬유련접단백등적영향이급수술병발증등정황.결과응용SGA법평정,34례(44.7%)존재영양불량；여입원시상비,술후혈홍단백명현하강,청단백재술후2주내명현하강,전청단백재술후2주시명현상승,술후1주전철단백명현하강；각조수술병발증발생솔분별위19%、29.6%화14.3%.결론 SGA법가대수술병인진행초보영양평정；위수술기영양지지가개선영양불량적위장외과병인적영양상황,단대영양량호적병인효과불명현.
Objective To evaluate the nutritional status of surgical patients by SGA method, and to observe the effects ofperioperative nutrition suppor.t Methods:76 patients in general surgery department was included in this retrospective analysis. The nutritional statuswas evaluated usingSGA shee.t The information ofperioperative nutrition support in each groupwas collected. We also observed the changes of hemoglobin, albumin, prealbumin, transferrin, fibronectin and the postoperative complications in different groups. Results:34 of76 patients (44.7%) weremalnutrition. Compared with admission, hemo-globinwas obviously decreased after surgery, albumin decreased in the second postoperativeweek, preal-bumin increased twoweeks after surgery, and transferrin decreased in the first postoperative week. The complication rates ofSGA groupA,B and Cwere 19%,29.6% and 14.3%. Conclusion:The SGA is a preliminary classification method of the nutritional status. Perioperative nutrition support can improve the nutritional status ofmalnourished patients buthas no result inwell-nourished patients.