NRS 2002与PG-SGA在头颈部鳞癌患者围手术期营养评估中的应用比较  

Application of NRS 2002 and PG-SGA in perioperative nutrition assessment for patients with head and neck squamous cell carcinoma

作　　者：屠奕[1] 吴婉英[2] 梁冠冕[1] 王兰[1] 王绣华[1] 章新亚[1] 范丽娟[1] 徐秀丹 陈姣姣 刘长初 Tu Yi;Wu Wanying;Liang Guanmian;Wang Lan;Wang Xiuhua;Zhang Xinya;Fan Lijuan;Xu Xiudan;Chen Jiaojiao;Liu Changchu(Head & Neck Surgery, Zhejiang Cancer Hospital, Hangzhou 310022, China;Nursing Department, Zhejiang Cancer Hospital, Hangzhou 310022, China)

机构地区：[1]浙江省肿瘤医院头颈外科,杭州310022 [2]浙江省肿瘤医院护理部,杭州310022

出　　处：《中华现代护理杂志》2019年第25期3219-3222,共4页Chinese Journal of Modern Nursing

基　　金：浙江省自然科学基金(LY15H130001).

摘　　要：目的比较欧洲营养风险筛查法(NRS 2002)与患者总体主观评分法(PG-SGA)在头颈部鳞癌围手术期患者中的应用效果,为临床头颈部鳞癌围手术期患者的营养筛查提供依据。方法采用便利抽样法,选取浙江省肿瘤医院头颈外科2015年10月—2017年12月收治的头颈部鳞癌围手术期患者82例为研究对象。采用NRS 2002和PG-SGA分别于患者入院时、术前1 d、术后第2天、术后1周和出院时进行纵向营养评估,比较2种评估工具在围手术期营养评估的差异性。结果NRS 2002与PG-SAG动态评估患者从入院到出院的营养不良风险趋势相似,均成"V"形;PG-SAG评估营养不良阳性率高于NRS 2002,差异有统计学意义(P<0.01)。结论NRS 2002和PG-SGA均适用于头颈部鳞癌患者的营养风险筛查,但PG-SGA的阳性率更高,更能够有效地筛查和评估头颈部鳞癌患者的营养状况,利于及时为患者提供营养干预和治疗。Objective To compare the effect of European Nutritional Risk Screening (NRS 2002) and Patient General Subjective Score (PG-SGA) in perioperative patients with head and neck squamous cell carcinoma, and to provide evidence for clinical nutritional screening in perioperative patients with head and neck squamous cell carcinoma. Methods Using convenience sampling method, 82 patients with head and neck squamous cell carcinoma who were admitted to the Department of Head and Neck Surgery of Zhejiang Cancer Hospital from October 2015 to December 2017 during perioperative period were selected as the study subjects. NRS 2002 and PG-SGA were used to longitudinally evaluate their nutritional status at admission, 1 day before operation, 2 days after operation, 1 week after operation and at discharge, respectively. The differences of nutritional status between the two assessment tools during perioperative period were compared. Results The trend of malnutrition risk in NRS 2002 was similar to that in PG-SAG dynamic assessment from admission to discharge, all of which were in the form of "V". The positive rate of malnutrition in PG-SAG assessment was higher than that in NRS 2002, and the difference was statistically significant (P<0.01). Conclusions NRS 2002 and PG-SGA are both suitable for nutritional risk screening of head and neck squamous cell carcinoma patients, but the positive rate of PG-SGA is higher, which can effectively screen and evaluate the nutritional status of head and neck squamous cell carcinoma patients, and is conducive to timely providing nutritional intervention and treatment for patients.

关 键 词：营养筛查 头颈部鳞癌 营养评估 NRS 2002 PG-SGA 

分 类 号：R473.73[医药卫生—护理学]