肿瘤化疗患者营养现状及营养支持治疗的调查  

Investigation of nutritional status and nutritional support therapy in patients with cancer treated with chemotherapy

作　　者：侯双雁[1] 黄世庆[2] 龙华[1] 叶婷[1] 林承雄[1] HOU Shuangyan;HUANG Shiqing;LONG Hua;YE Ting;LIN Chengxiong(Nutrition Department,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,China;Chemotherapy Ward in Oncology Department,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,China)

机构地区：[1]右江民族医学院附属医院营养科,百色533000 [2]右江民族医学院附属医院肿瘤科化疗病区,百色533000

出　　处：《右江医学》2019年第7期535-538,共4页Chinese Youjiang Medical Journal

摘　　要：目的 调查首次化疗前百色市某医院肿瘤患者的营养风险、营养不良情况及化疗期间营养支持情况。方法 选取2017年5月~2018年8月百色市某三甲医院化疗病区收治的确诊恶性肿瘤并接受首次化疗的患者为研究对象。入院后48小时内使用营养风险筛查量表(NRS2002)进行筛查和评估营养不良情况,并记录入院和第一周期化疗结束之间的营养支持情况。结果 本次共调查121例患者,营养风险发生率为50.41%,营养不良发生率为42.15%。在61例有营养风险的患者中营养支持率为18%。肠外和肠内营养的比例为12∶2(6∶1)。营养支持能量摄入量为(14.99±5.90)kcal/(kg·d),氮量为(0.13±0.05)g/(kg·d)。结论 该地区卵巢癌及消化道肿瘤患者营养风险、营养不良发生率较高,但营养支持的应用尚未规范,需加强临床医师对“肠内与肠外营养临床诊疗指南”的培训。Objective To investigate the nutritional risk and malnutrition before the first chemotherapy as well as nutritional support during chemotherapy. Methods Patients who were diagnosed with malignant tumors and received the first chemotherapy in chemotherapy ward from a tertiary hospital in Baise City from May2017 to August2018 were selected as research subjects.Nutritional Risk Screening2002(NRS2002) was performed and malnutrition was estimated within 48 hours of admission,and nutritional support was recorded between the period of admission and the end of the first cycle of chemotherapy. Results A total of121 patients were surveyed,the incidence of nutritional risk was 50.41%,and the incidence of malnutrition was 42.15%.The nutritional support rate was18% in 61 patients with nutritional risk,and the ratio of parenteral nutrition and enteral nutrition was12∶2(6∶1).The energy intake of nutritional support was(14.99 ±5.90) kcal/(kg·d),and that of nitrogen was(0.13±0.05) g/(kg· d). Conclusion The incidence of nutritional risk and malnutrition in patients with ovarian cancer and gastrointestinal cancer is high in this area,but the application of nutritional support has not been standardized.Therefore,it is necessary to strengthen the training of clinicians on the guidelines for Clinical Practice of Enteral and Parenteral Nutrition.

关 键 词：营养风险筛查2002 营养风险 营养不良 营养支持 化疗 

分 类 号：R730.5[医药卫生—肿瘤]