肿瘤化疗患者存在营养风险的相关因素研究  

Associated Factors for Nutritional Risk in Tumor Patients during Chemotherapy

作　　者：毕研霞[1] 洪忠新[1] 张立红[1] 李伟[1] 葛智文[1] BI Yan-xia;HONG Zhong-xin;ZHANG Li-hong;LI Wei;GE Zhi-wen(Department of Nutrition,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院营养科,北京市100050

出　　处：《中国全科医学》2018年第6期694-697,共4页Chinese General Practice

摘　　要：目的对肿瘤化疗患者行营养风险筛查,分析营养风险与年龄、是否贫血及血清清蛋白、血清总蛋白、体质指数(BMI)的关系,为存在营养风险的患者及时进行临床营养支持治疗提供参考依据。方法选取2015年1—10月首都医科大学附属北京友谊医院肿瘤科收治的236例肿瘤化疗患者为研究对象,采用营养风险筛查2002(NRS 2002)进行营养风险筛查。结果 236例患者中<60岁者69例(29.2%),60~69岁者80例(33.9%),≥70岁者87例(36.9%)。142例(60.2%)存在营养风险。≥70岁营养风险发生率高于<60岁者(P<0.05)。贫血患者营养风险发生率高于无贫血患者,血清清蛋白水平偏低患者营养风险发生率高于血清清蛋白水平正常患者,血清总蛋白水平偏低患者营养风险发生率高于血清总蛋白水平正常患者,BMI偏低患者营养风险发生率高于BMI正常患者(P<0.05)。结论肿瘤化疗患者营养风险的发生率较高,且营养风险的发生与患者的年龄,是否贫血,血清清蛋白、血清总蛋白水平及BMI有关,对于该类患者进行营养评估时应加强动态监控,及时发现营养风险,及时进行营养支持治疗。Objective To investigate the association of nutritional risk with age,anemia,serum albumin and total protein,and body mass index(BMI)in tumor patients treated with chemotherapy based on the results of nutritional risk screening,providing a reference for timely delivering clinical nutrition support therapy for such patients.Methods We enrolled 236 tumor patients who received chemotherapy in Beijing Friendship Hospital,Capital Medical University from January to October 2015.Nutritional Risk Screening 2002(NRS 2002)was used to screen their nutritional risk.Results Of the 236 patients〔69(29.2%)aged<60 years,80(33.9%)aged 60-69 years,87(36.9%)aged≥70 years〕,142(60.2%)had nutritional risk.Those aged≥70 years were more likely to have nutritional risk compared with those<60 years(P<0.05).Moreover,higher likelihood of nutritional risk was found in patients with anemia,decreased serum albumin level,decreased serum total protein level or decreased BMI(P<0.05).Conclusion Tumor patients treated with chemotherapy have high incidence of nutritional risk,which is associated with age,anaemia,levels of albumin and total protein and BMI.In view of this,dynamic nutrition monitoring during the nutritional assessment for these patients should be strengthened properly,in order to timely detect nutritional risk and deliver nutrition support therapy.

关 键 词：肿瘤 营养状况 化学疗法 辅助 影响因素分析 

分 类 号：R153[医药卫生—营养与食品卫生学]