营养风险筛查2002、营养不良通用筛查工具和患者主观整体评估在住院肿瘤患者中应用和比较  

NUTRITIONAL RISK SCREENING 2002,APPLICATION AND COMPARISON OF MALNUTRITION UNIVERSAL SCREENING TOOL AND PATIENT-GENERATED SUBJECTIVE GLOBE ASSESSMENT IN TUMOR INPATIENTS

作　　者：吉琳琳[1] 侯栋梁[2] 宋丽楠[2] 刘晓倩[1] 贺源[1] 李素云[1] JI Lin-lin HOU Dong-liang SONG Li-nan LIU Xiao-qian HE Yuan LI Su-yun(Department of Nutrition, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038 1.Department of Radiotherapy, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, Chin)

机构地区：[1]首都医科大学附属北京世纪坛医院营养科,北京100038 [2]首都医科大学附属北京世纪坛医院放疗科,北京100038

出　　处：《营养学报》2017年第3期242-246,共5页Acta Nutrimenta Sinica

摘　　要：目的明确营养风险筛查2002(nutritional risk screening 2002,NRS2002)、营养不良通用筛查工具(malnutrition universal screening tool,MUST)和患者主观整体评估(patient-generated subjective globe assessment,PG-SGA)对住院肿瘤患者进行营养风险筛查与评估的适用性。方法对208例住院肿瘤患者进行营养风险筛查与评估,χ~2检验比较三种营养筛查与评估工具结果差异,用灵敏度、特异度、约登指数及Kappa值分析比较3种营养筛查与评估工具的评定效果。结果以BMI为标准,肿瘤患者营养不良比例为14%,营养过剩比例高达41.3%;以体质指数(BMI)和血清白蛋白(ALB)为标准,营养不良检出率为16.8%,NRS2002、MUST、PG-SGA3种工具营养不良的风险检出率分别为26.0%、25.4%、39.4%;以BMI和ALB为标准,其中MUST筛查工具的灵敏度、特异度、约登指数及Kappa值最高。结论三种营养筛查与评估工具均适用于住院肿瘤患者;从营养不良的风险检出率来看,患者主观全面评定法更有优势;从营养风险筛查能力看,MUST更有优势。Objective To investigate the applicability of nutritional risk screening 2002（NRS2002）, patient-generated subjective globe assessment（PG-SGA）and malnutrition universal screening tool（MUST） in screening nutrition risks in tumor inpatients. Methods The nutrition risks of 208 tumor patients in hospital were screened by the three screening and assessment tools mentioned above. The results were tested by χ-2 analysis. The effeciencies of the three tools were compared by sensitivity, specificity, Kappa value and Youden index. Results The malnutrition rate of the 208 tumor inpatients screened by BMI was 14%, and the rate of overweight reached 41.3%. The detection rates of nutrition risks by NRS2002, PG-SGA, MUST were 26.0%, 39.4%, 25.4 % respectively, which were higher than 16.8% by BMI and ALB. MUST showed the highest in sensitivity, specificity, Kappa value and Youden index. Conclusion All three screening tools are suitable for screening nutrition risk in tumor in patients. PG-SGA is more suitable based on nutritional risk screening rate. However, MUST is more advantageous in terms of nutritional risk screening capability.

关 键 词：营养风险筛查2002 患者主观整体评估 营养不良通用筛查工具 肿瘤 营养不良 

分 类 号：R459.3[医药卫生—治疗学]