对进展期肿瘤病人整体营养状况筛查的研究  

Screening of the nutritional status in patients with advanced cancer using the patient-generated subjective global assessment

作　　者：刘碧竹[1] 江志伟[1] 佴永军[1] 柳欣欣[1] 李宁[1] 

机构地区：[1]南京大学医学院临床学院(南京军区南京总医院)解放军普通外科研究所,江苏南京210002

出　　处：《肠外与肠内营养》2007年第2期101-104,共4页Parenteral & Enteral Nutrition

摘　　要：目的:探讨病人整体营养状况主观评估(PG-SGA)表作为进展期肿瘤病人营养状况筛查工具的有效性。方法:选择择期手术的进展期肿瘤病人88例,利用客观营养指标及PG-SGA表判断其营养状况。结果:以客观指标判断为营养不良的病人有53例(60.2%),而根据PG-SGA表评估,有54例(61.4%)存在营养不良。PG-SGA表评分的灵敏度达94%,特异性为91%。两种筛查方法有高度的相关性。结论:PG-SGA表作为进展期肿瘤病人的营养状况筛查,具有简单、有效、易行、无创及快速等优点。Objective ：To evaluate the effectiveness of the patent-generated subjective global assessment （PG-SGA） as a nutritional screening tool in patients with advanced cancer. Methods：Eighty-eight advanced cancer patients were detected by objective method of nutritional assessment and PG-SGA on admission. Results：Fifty-three patients were malnutrition by objective method of nutritional assessment while according to the PG-SGA, fifty-four patients were characterized as malnutrition. Compared with the objective method, the PG-SGA had a sensitivity of 94% and a specificity of 91%. The two methods of the screening of the nutritional status in advanced cancer patients had a high correlation. Conclusion ： The PG-SGA is a sensitive nutritional assessment tool in advanced cancer patients and it has many advantages.

关 键 词：整体营养状况主观评估 肿瘤 营养筛查 

分 类 号：R730[医药卫生—肿瘤]