妇科恶性肿瘤病人不同营养评估方法的对比分析  

Comparison of PG-SGA,NRS 2002 and BIA in nutritional assessment and screening of patients with gynecologic cancers

作　　者：陈咏宁 关阳[2] 郑莉[1] 刘文莲[1] 吴春华 张雅迪 陈莉[3] 龚时鹏[1] CHEN Yong-ning GUAN Yang ZHENG Li LIU Wen-lian WU Chun-hua ZHANG Ya-di CHEN Li GONG Shi-peng(Department of Obstetrics and Gynecology Department of Nutrition Department of PET Center, Nan fang Hospital of Southern Medical University, Guangzhou 510515, Guangdong, China)

机构地区：[1]南方医科大学南方医院妇产科,广东广州510515 [2]南方医科大学南方医院营养科,广东广州510515 [3]南方医科大学南方医院PET中心,广东广州510515

出　　处：《肠外与肠内营养》2017年第4期221-224,共4页Parenteral & Enteral Nutrition

基　　金：广东省科技计划项目(2016A020215115);花都区科技计划项目(HD15CXY006);天河区科技计划(201604KW010)

摘　　要：目的:对比分析主观整体评估(PG-SGA)、营养风险筛查2002(NRS 2002)和生物电阻抗分析(BIA)在评估妇科恶性肿瘤病人营养状况中的应用价值。方法:随机选取妇科恶性肿瘤病人118例,应用不同方法(PG-SGA、NRS 2002、BIA)评估病人营养状况,比较其一致性。结果:应用PG-SGA、NRS 2002和BIA法病人营养不良/存在营养风险的检出率依次为64.4%、57.6%和33.9%。在总体中,PG-SGA与NRS 2002一致性较高(P<0.001),而BIA与NRS 2002、BIA与PG-SGA一致性均较低(P<0.001),仅在宫颈癌病人中一致性有所增加(P<0.001)。结论:妇科恶性肿瘤尤其是卵巢癌病人营养不良/存在营养风险率较高,可用PG-SGA和NRS 2002评价其营养状态,而BIA在评估宫颈癌病人营养状态中有一定价值。Objective： To evaluate the application of PG-SGA, NRS 2002 and BIA in nutritional assessment and screening of patients with gynecologic cancers. Methods： 118 patients were randomly selected. Nutritional status were evaluated by PG-SGA, NRS 2002 and BIA, and consistency between each tools were compared. Results： The prevalence of malnutrition or nutritional risk of patients were 64.4%（PG-SGA）, 57.6%（NRS 2002）,and 33.9%（BIA） respectively. In all patients, the consistency of PG-SGA and NRS 2002 was high（ P〈0.001）, while there were not significantly consistent between BIA and PG-SGA, or between BIA and NRS 2002（ P〈0.001）. Conclusion： According to the evaluation of PG-SGA or NRS 2002 in gynecologic patients, the prevalence of malnutrition or nutritional risk is high, and these two scales are suitable for nutritional assessment and screening of gynecologic cancer patients, especially in ovarian cancer patients. In addition, BIA may be a promising tool to evaluate cervical cancer patients＇ nutritional status.

关 键 词：宫颈肿瘤 子宫内膜肿瘤 卵巢肿瘤 主观整体评估 营养风险筛查2002 生物电阻抗分析 营养不良 营养风险 

分 类 号：R459.3[医药卫生—治疗学]