摘要
[目的]应用欧洲营养筛查方法（NRS 2002）分析胃癌患者营养风险。[方法]收集胃癌患者82例,患者入院48h进行营养风险筛查,采用NRS2002评估表进行评分。NRS2002总分≥3分为存在营养风险。[结果 ]在82例住院胃癌患者中,NRS 2002营养风险筛查评分为（2.51±1.08）分,NRS2002≥3分24例,营养风险发生率为29.3%。随着患者临床分期的升高,营养风险发生率随之升高,Ⅰ期患者营养风险发生率为5.9%,而Ⅳ期患者的营养风险发生率为57.1%。营养风险发生率与患者的年龄、居住地和医疗费用相关。营养不良者（BMI〈18.5kg/m2）发生营养风险发生率为100%,但25.9%（14/54）患者的BMI虽处于正常范围仍存在营养风险。NRS 2002≥3分存在营养风险的患者平均住院天数为（14.4±9.2）d,明显长于NRS 2002〈3分无营养风险的患者的（9.0±4.8）d（P=0.041）。[结论 ]NRS2002对住院患者营养风险和营养支持率的调查可有效鉴别住院患者的营养风险,并为营养支持提供依据。
[Objective] To analyze the nutritional risk of gastric cancer patients with European nutrition risk screening（NRS 2002）. [Methods] A total of 82 patients with gastric cancer were collected,and the patients were admitted for nutritional risk screening on 48 h. [Results] Of 82 patients with gastric cancer,The score of NRS 2002 was 2.51±1.08. The incidence of nutritional risk was 29.3%. With the increase of clinical stages of patients,the incidence of nutritional risk increased. The incidence of nutritional risk was 5.9% in patients stage Ⅰ and 57.1% in patients stage Ⅳ. The incidence of nutritional risk was related to patient＇s age,residence and medical expenses. The patients with BMI18.5 kg/m2 had a 100% incidence of nutritional risk,and 25.9%（14/54） patients with normal BMI had nutritional risk. The average of hospitalization in patients with NRS 2002≥3 was（14.4±9.2）d,which was significantly longer than that in patients with NRS 20023（9.0±4.8）d（P=0.041）. [Conclusion] NRS 2002 evaluaion on nutrition risk can effectively identify the nutritional risk of hospitalized patients and provide evidence for nutritional support.
作者
郑米华
林成平
金崇田
ZHENG Mi-hua;LIN Cheng-ping;JIN Cong-tian(The Second people ＇s Hospital of Linhai ,Linhai 317016, China)
出处
《肿瘤学杂志》
CAS
2018年第5期480-483,共4页
Journal of Chinese Oncology
关键词
胃癌
营养风险筛查2002
体质指数
住院时间
gastric cancer
nutrition risk screening 2002
body mass index
hospitalization
