常见恶性肿瘤住院病人营养状态的调查和分析  

Investigation and analysis of nutritional status in common cancer patients

作　　者：罗智鹏 石华伟[1] 薛瑶纯 刘春安[2] 姜海平[1] 

机构地区：[1]暨南大学附属第一医院胃肠外科,广东广州510632 [2]广东医学院附属医院普通外科,广东湛江524000

出　　处：《肠外与肠内营养》2016年第3期162-164,169,共4页Parenteral & Enteral Nutrition

摘　　要：目的:调查和分析常见恶性肿瘤病人的营养状态,探讨其与肿瘤临床分期、年龄、各项人体测量和实验室指标的关系。方法:对220例新入院的恶性肿瘤病人进行相应的人体测量(体重指数、上臂中点周径、三头肌皮皱厚度、上臂肌肉周径)、蛋白质代谢指标检测和卡氏评分,应用PG-SGA进行营养状态评估。结果:在220例病人中,入院时总体营养不良的发生率为67.3%,消化道恶性肿瘤病人营养不良的发生率为80.5%,高于非消化道肿瘤病人的58.7%(P<0.05)。31.8%的恶性肿瘤病人在入院时急需进行营养干预。PG-SGA评分越高,卡氏评分越低,病人活动能力越差。PG-SGA评分与各项人体测量和实验室指标成负相关。结论:住院的消化道肿瘤病人营养不良发生率高,PG-SGA评分与卡氏评分、各项人体测量和实验室指标呈负相关。Objective： To investigate the common cancer patients＇ nutritional status,and to find the relationship of clinical stage of tumor,ages,anthropometry and laboratory index. Methods： From May 2013 to September 2015,220 new admitted patients were selected with malignant tumor. The nutritional status was assessed by PG-SGA. The Card ＇s score,physique and protein metabolism index were evaluated. Results： In 220 patients,Malnutrition incidence was 67. 3%. In the gastrointestinal tumor patients,it was 80. 5%,higher than the non-gastrointestinal（ 58. 7%,P〈0. 05）. 31. 8% of the malignant tumor patients needed nutritional intervention. The PG-SGA ＇s score was inversely related to nutritional index. Conclusion： Malnutrition incidence in malignant tumor patients is high. The incidence of malnutrition in the digestive tract tumors is higher than that of the non digestive tract cancer.The PG-SGA＇s score is negatively correlated with the card＇s score,the human body measurement and the laboratory index.

关 键 词：恶性肿瘤 主观全面评定法 营养风险筛查 营养不良 

分 类 号：R73-31[医药卫生—肿瘤] R459.3[医药卫生—临床医学]