317例食管癌患者术前营养风险分析  

Nutritional risk of 317 cases of preoperative esophageal cancer patients

作　　者：毛志音 陈惠斌[1] 曾田荷 李怡霖[1] 秦筱红[1] 李静[1] Mao Zhiyin Chen Huibin Zeng Tianhe Li Yilin Qin Xiaohong Li Jing(Department of Nutrition, Henan Cancer Hospital ,Affiliated Cancer Hospital of Zhengzhou University, Henan Zhengzhou 450008, China)

机构地区：[1]郑州大学附属肿瘤医院河南省肿瘤医院营养科,河南郑州450008

出　　处：《现代肿瘤医学》2016年第23期3743-3745,共3页Journal of Modern Oncology

基　　金：河南省科技攻关计划项目(编号:132102310413)

摘　　要：目的：评估食管癌患者的营养状况,分析营养风险相关因素。总结食管癌患者确诊时的营养状况,为存在营养不良、营养风险者及时接受营养支持治疗提供参考依据。方法：选取2014年4月至2015年6月期间本院胸外科收治的317例食管癌患者,采用营养风险筛查2002（NRS2002）评估上述患者的营养风险,并进行营养状况评估与咨询,统计患者入院时的膳食摄入情况。结果：本组患者营养风险筛查得分为1~5分,平均（2.1±1.23）分,104例存在营养风险,营养风险发生率32.81%。多因素Logisitic回归分析发现营养风险的相关因素为：女性（OR=1.998）和24h膳食调查能量摄入不足（OR=6.661）。结论：食管癌患者发生营养风险的概率较高,女性及24h膳食调查能量摄入不足者营养不良的风险相对较高,对其应给予相应的营养干预措施。Objective： To evaluate the nutrition status of esophageal cancer patients and analyze the relevant factor of nutritional risks. Methods： This study involves 317 patients of esophageal cancer treated during April 2014 and June 2015. NRS2002 was applied to assess the nutritional risk of these patients and compile statistics of their food input when being first treated by assessing and consulting about their nutritional status. Results： The NRS result of patient ranged between 1 ~ 5 with the average（ 2. 1 ± 1. 23）. 104 patients among them had nutritional risks,accounting for 32. 81%. Multi- facto r Logistic regression analysis showed the relevant factor of nutritional risks ： Female（ OR= 1. 998） and 24 h insufficient food input（ OR = 6. 661）. Conclusion： Esophageal cancer patients suffer higher risks of nutritional risks. Female and those of 24 h insufficient food input suffers higher risks of malnutrition.

关 键 词：食管癌 膳食调查 营养风险 

分 类 号：R735.1[医药卫生—肿瘤]