营养风险筛查与干预对食管癌术后康复效果影响的研究  

Study of Effect of Nutrition Risk Screening and Intervention on the Postoperative Rehabilitation of Patients Undergoing Esophageal Carcinoma

作　　者：王晓莉[1] 陆凤英[1] 张燕楠[1] 孙雪梅[1] 徐颖颖[1] Wang Xiaoli;Lu Fengying;Zhang Yannan;Sun Xuemei;Xu Yingying(Department of Thoracic Surgery,Affiliated Hospital of Nantong University,Nantong 226001,Jiangsu Province,China)

机构地区：[1]南通大学附属医院胸外科,江苏南通226001

出　　处：《解放军护理杂志》2018年第1期66-69,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：南通大学附属医院科技基金项目(Tfh1520)

摘　　要：目的探讨营养风险筛查(nutritional risk screening method 2002,NRS 2002)与干预对食管癌患者术后康复效果的影响。方法 2015年9月至2016年6月,便利抽样法选择在南通大学附属医院胸外科住院的食管癌患者120例为研究对象。采用随机数字表法,将研究对象随机分为观察组与对照组(各60例),采用一般情况调查问卷、营养相关指标对两组患者进行调查。观察组患者在此基础上应用NRS 2002评价工具进行营养风险筛查与干预。结果观察组患者营养不良有42例,均给予早期围术期营养支持,支持率为70.0%;对照组患者营养不良有16例,给予早期营养支持,支持率为26.7%。两组患者早期营养支持率比较,差异有统计学意义(P<0.05)。两组患者术后第8天血清白蛋白、前白蛋白值比较,观察组患者优于对照组,差异有统计学意义(P<0.05);两组患者术后第8天体质量下降变化比较,差异有统计学意义(P<0.05)。观察组患者术后并发症的发生率低于对照组,差异有统计学意义(P<0.05)。结论应用NRS 2002对食管癌患者进行营养风险筛查简便易行,可作为营养筛查工具,及时发现可疑或确定有营养风险者;对有营养风险者,早期进行营养支持,可减少术后并发症的发生,促进其快速康复。Objective To explore the effect of nutrition risk screening method 2002(NRS 2002)and intervention on the postoperative rehabilitation of patients undergoing esophageal carcinoma.Methods By convenience sampling,120 patients with esophageal carcinoma undergone operation were selected,and divided into observation group and control group,with 60 cases in each group patients were surveyed by general information questionnaire and nutritional related indexes scale.The observation group received nutrition risk screening and intervention by NRS2002.Results There were 42 cases had malnutrition in observation group,and they all received early perioperative nutritional support,the support rate was 70.0%.There were 16 cases in control group required early nutritional support,and the support rate was 26.7%(P<0.05).The value of serum albumin and prealbumin on 8th day after surgery in observation group was better than that of control group(P<0.05).The changes of weight loss on 8th day after surgery were significantly different between two groups(P<0.05).The incidence rate of postoperative complications in observation group was lower than that of control group(P<0.05).Conclusion NRS 2002 could be applied in the nutrition risks screening and promoting rehabilitation,it is easy to use,and can be used as nutritional risk screen tool to detect suspicious or confirmed patients with nutritional risk.For those patients with nutritional risk,the early nutrition support can reduce the incidence of postoperative complication and promote fast recovery.

关 键 词：NRS 2002 营养筛查 食管癌 早期干预 快速康复 

分 类 号：R735.1[医药卫生—肿瘤]