90例恶性肿瘤患者营养评价、营养治疗及生活质量调查研究  

Investigation on Nutritional Assessment, Nutrition Support and its Life Quality of 90 Cases of Malignant Tumor

作　　者：薛楠[1] 麦慧云 谷秀芳[1] 谢丽君[1] 吴志喜[2] 

机构地区：[1]中山大学附属东华医院临床营养科,广东东莞523000 [2]广东省东莞市人民医院妇产科,广东东莞523000

出　　处：《现代生物医学进展》2015年第17期3313-3315,共3页Progress in Modern Biomedicine

摘　　要：目的：调查研究常见恶性肿瘤患者的营养评价、营养支持及生活质量现状,为规范肿瘤患者的临床营养支持提供依据。方法：采用自评主观全面评定量表（PG-SGA）对我院90例常见恶性肿瘤住院患者进行营养评价,记录患者住院期间的营养支持情况并采用生命质量测定量表（EORTC QLQ-C30 V3.O）评定其生活质量。结果：90例患者中,PG-SGA评分0-1分4例,未行营养支持;2-3分30例,营养支持率10.0%（3/30）;4-8分43例,营养支持率32.3%（14/43）;≥9分13例,营养支持率53.8%（7/13）。在PG-SGA的不同3项评分中,症状方面分值均数,功能方面分值均数和生活质量分值差别均有统计学意义（P〈0.05）,PG-SGA评分越高,症状方面分值均数越高,功能方面分值均数和生活质量分值越低,其中角色功能、躯体功能、疲倦症状和食欲症状三组差别有统计学意义（P〈0.05）,PG-SGA评分越高,躯体和角色功能越差,疲倦和食欲减退症状越明显。结论：现阶段恶性肿瘤患者的营养支持不足,应重视肿瘤患者的营养支持,是恶性肿瘤综合治疗的重要手段之一。Objective： To investigate the common malignant tumors in patients with nutritional assessment, nutrition support and quality of life Situation, to support theory bases for cancer patients standardize clinical nutrition. Methods： PG-SGA was used to assess nutrition situation and record nutritional support for the common malignant tumors patients in our hospital. EORTC QLQ-C30 V3.O was used to measure the quality of life. Results： In these 90 common cancer patients, there were 4 patients scored 0 to 1 by using PG-SGA,and they all were not received nutrition support. There were 30 patients scored 2 to 3, and the nutritional supporting rate was 10.0%（3/30）.There were 43 patients scored 4 to 8, and the nutrition support rate was 27.7%（14/43）. There were 13 patients scored ≥9, and the nutrition support rate was 53.8%（7/13）. From three aspects of the PG-SGA,the differences of symptoms scores mean, function and quality of life scores mean score were statistically significant（P〈0.05）, PG-SGA scores were higher, and symptoms scores mean higher but function scores and quality of life scores were lower.Role function, physical function, fatigue symptoms and appetite symptoms were statistically significant differences（P〈0.05）. When PG-SGA scores were higher, the physical and role functioning were worse, fatigue and loss of appetite symptoms were more obvious. Conclusions： At this stage cancer patients with inadequate nutritional support, we should pay attention to nutritional support of cancer patients. Nutritional support is an important means of comprehensive treatment for malignant tumors.

关 键 词：营养评价 营养支持 生活质量 

分 类 号：R730[医药卫生—肿瘤]