摘要
目的:调查结直肠癌住院病人术前营养风险,对其术后血清清蛋白和住院时间进行比较,为临床合理应用营养支持提供依据。方法:参照NRS2002工具的标准,对270例结直肠癌住院病人进行营养风险筛查,分别对103例存在营养风险病人和167例无营养风险病人进行营养支持与未进行营养支持者作对比,分析营养风险与营养支持之间的关系。结果:存在营养不良风险的103例结直肠癌病人中75例实施了营养支持后,平均住院时间和第7天血清清蛋白水平与未营养支持组比有显著性差异(P<0.01)。同时对无营养风险病人62例实施了临床营养支持后,平均住院时间有显著性差异(P<0.05),但术后清蛋白与术前比差异均无统计学意义(P>0.05)。结论:对进行手术治疗的结直肠癌病人,应及时进行营养风险的动态评估,对存在营养不良风险的结直肠癌病人,进行积极的营养支持治疗可有效地改善其术后的营养状况和缩短住院时间。
Objective： Through investigating the preoperative nutritional risk and comparing the hospital stay and postoperative laboratory test in hospitalized patients with colorectal cancer,to provide evidence for the rational clinical application of nutrition support.Methods： Nutritional risk screening was carried out in 270 hospitalized patients with colorectal cancer by the nutritional risk screening（NRS）2002 score summary table,among which 103 patients were at nutritional risk,while another 167 were at no nutritional risk.The relationship between nutritional risk and nutrition support was analysed.Results： In nutritional risk group,there was significant difference（P0.01）in average hospital stay and the albumin in the seventh day after operation between nutrition support or not.At the same time,in no nutritional risk group,after carrying out nutrition support,there was significant difference（P0.05）in average hospital stay,but there was no significant difference（P0.05）in the albumin.Conclusion： It is important to evaluate the nutritional risk in hospitalized patients with colorectal cancer in time,and carry out nutrition support active in patients with nutritional risk.Nutritional support can improve the postoperative nutritional status effectively and shorten the hospital stay.
出处
《肠外与肠内营养》
CAS
北大核心
2012年第1期40-42,共3页
Parenteral & Enteral Nutrition
