3种营养筛查工具在骨与软组织肿瘤患者营养不良风险评估中的临床价值  

Clinical Value of Three Nutritional Screening Tools in Assessing The Risk of Malnutrition in Patients with Bone and Soft Tissue Tumors

作　　者：原陈珊[1] 来云霞[2] YUAN Chen-shan;LAI Yun-xia(Clinical Nutrition Department,Shanxi Province Cancer Hospital,Shanxi Hospital Affiliated to Cancer Hospital,Chinese Academy of Medical Sciences,Cancer Hospital Affiliated to Shanxi Medical University,Taiyuan 030013,China;Bone and Soft Tissue Department,Shanxi Province Cancer Hospital,Shanxi Hospital Affiliated to Cancer Hospital,Chinese Academy of Medical Sciences,Cancer Hospital Affiliated to Shanxi Medical University,Taiyuan 030013,China)

机构地区：[1]山西省肿瘤医院/中国医学科学院肿瘤医院山西医院/山西医科大学附属肿瘤医院临床营养科,太原030013 [2]山西省肿瘤医院/中国医学科学院肿瘤医院山西医院/山西医科大学附属肿瘤医院骨与软组织科,太原030013

出　　处：《中国食物与营养》2024年第7期82-85,89,共5页Food and Nutrition in China

摘　　要：目的:调查骨与软组织肿瘤患者营养不良风险的发生情况,探索营养风险筛查2002(NRS2002)、通用筛查工具(MUST)、患者主观整体评估简表(PG-SGASF)等3种营养筛查工具在骨与软组织肿瘤患者营养不良风险评估中的临床价值。方法:对山西省肿瘤医院骨与软组织科2023年8月—2024年5月的所有入院成年患者进行问卷调查,调查内容包括:患者一般情况(年龄、性别、身高、体重);患者体重在近2周、1个月、2个月、3个月、6个月的变化情况;饮食改变情况以及影响饮食的原因等。整理完成NRS2002、MUST、PG-SGASF得分。结合患者临床资料疾病诊断、治疗情况进行统计分析。率的比较采用卡方检验,定量资料两组比较采用Mann-Whitney检验,多组比较采用Kruskal-WallisH检验,绘制韦恩图、ROC曲线。结果:合格问卷633份,男性327例、女性306例,平均年龄(54.41±14.35)岁。骨与软组织肿瘤患者营养不良风险在14%~22%之间,恶性肿瘤患者营养不良风险发生率更高。3种筛查结果绘制韦恩图显示,NRS2002与MUST一致性更高。以NRS2002为基础绘制ROC曲线(曲线下面积:MUST:0.9287,PG-SGASF:0.596)。结论:骨与软组织肿瘤患者营养不良风险发生率较其他类型肿瘤患者偏低,但恶性度越高营养不良风险越大。NRS2002有一定的漏诊情况,MUST简易且全面,PG-SGASF更适合用于评估。【Objective】To investigate the occurrence of malnutrition risk in patients with bone and soft tissue tumors,and explore the clinical value of three nutritional screening tools including nutritional risk screening 2002(NRS 2002),universal screening tool(MUST),and patient subjective overall assessment summary(PG-SGA SF)in the assessment of malnutrition risk in patients with bone and soft tissue tumors.【Method】We conducted a questionnaire survey on all adult patients admitted to the Bone and Soft Tissue Department of Shanxi Cancer Hospital from August 2023 to May 2024 including general information of patients(age,gender,height,weight),changes in patient weight in the past two weeks,one month,two months,three months,and six months,changes in diet,and reasons affecting diet,etc.We organized and completed NRS 2002,MUST,PG-SGA SF scores.Statistical analysis of disease diagnosis and treatment was carried out based on clinical data of patients.The chi-square test was used for comparing rates,the Mann-Whitney test was used for comparing quantitative data between two groups,and the Kruskal-Wallis H test was used for comparing multiple groups.ROC curves were plotted,and Venny diagram and ROC curve were drawed.【Result】There were 633 qualified questionnaires,with 327 males and 306 females,with an average age of(54.41±14.35)years.The risk of malnutrition in patients with bone and soft tissue tumors ranges from 14% to 22%,with a higher incidence of malnutrition in patients with malignant tumors.The venny plot of the three screening results showed that NRS 2002 had higher consistency with MUST.Draw ROC curve based on NRS 2002,area under curve(MUST:0.9287,PG-SGA SF:0.596).【Conclu⁃sion】The incidence of malnutrition risk in patients with bone and soft tissue tumors is lower than that in patients with other types of tumors,but the higher the malignancy,the greater the risk of malnutrition.NRS 2002 has some missed diagnosis,while MUST is simple and comprehensive,it is recommended to promote it.and PG-SGA SF is more s

关 键 词：骨与软组织肿瘤 营养不良风险 营养风险筛查2002(NRS2002) 通用筛查工具(MUST) 患者主观整体评估简表(PG-SGASF) 

分 类 号：R738.6[医药卫生—肿瘤] R151[医药卫生—临床医学]