摘要
目的动态评价结直肠癌患者的围手术期营养风险，以期指导临床合理营养支持。方法选取新人院、未经放疗、化疗处理的结直肠癌患者144例，于术前及术后两周应用营养风险筛查2002（NRS2002）对患者进行营养风险动态评估，同时测定血红蛋白、血清白蛋白、前白蛋白水平及外周血总淋巴细胞计数，并观察术后并发症的发生率。结果术前有22．91％（33／144）的患者存在营养风险；术前预测术后营养风险发生率为43．06％（62／144），实际测得术后营养风险发生率为54．86％（79／144），后两者的差异具有统计学意义（x^2=4．016，P〈0．05）。术前营养风险评分≥3分的患者术后出现并发症的发生率为10．13％，评分〈3分的患者术后出现并发症的发生率为1．54％，存在营养风险的患者并发症的发生率显著高于不存在营养风险的患者（x^2=3．065，P〈0．05）。结论结直肠癌患者的围手术期营养风险发生率高，尤以术后显著，且存在营养风险的患者易发生术后并发症。
Objective To evaluate the perioperative nutritional risk of patients with colorectal cancer. Methods Totally, the nutritional risk of 144 colorectal cancer patients who were newly admitted to our hospital and were radiotherapy-naive or chemotherapy-naive were evaluated using Nutritonal Risk Screening 2002 （NRS2002） before operation and two weeks after operation. Meanwhile, hemoglobin, serum levels of albumin and prealbumin, total lymphocyte count were measured and the postoperative complications were observed. Results The incidence of preoperative nutritional risk was 22.91% （33/144）. The predicted incidence of postoperative nutritional risk was 43.06% （62/144）, while the actual incidence was 54. 86% （79/144） （X^2 = 4. 016, P 〈 0.05 ）. About 10. 13% of patients whose preoperative nutritional risk score ≥3 experienced complications, while only 1.54% of patients whose preoperative nutritional risk score 〈 3 had complications （X^2 = 3. 065, P 〈 0.05 ）. Conclusions The perioperative （especially postoperative） nutrition risk is high in patients with colorectal cancer. Patients with higher nutrition risk tend to experience postoperative complications.
出处
《中华临床营养杂志》
CAS
2009年第1期21-23,共3页
Chinese Journal of Clinical Nutrition
