摘要
目的 探讨恶性肿瘤住院患者的营养状况分布特征,分析营养不良的影响因素及营养治疗对于住院结局的影响。方法 选取2023年1月至2024年1月入院的199例恶性肿瘤患者为调查对象。入院48 h内采用营养风险筛查2002(NRS 2002)和患者主观整体评估(PG-SGA)进行营养状态评估,分析恶性肿瘤患者的营养风险、营养不良发生率及影响因素、营养治疗对住院结局的影响。结果 纳入的199例恶性肿瘤住院患者中,88.44%的患者存在营养风险,营养不良发生率达89.44%。Logistic回归分析结果显示,白蛋白是营养不良的独立影响因素(P<0.05)。我院178例恶性肿瘤营养不良患者中,100例进行了营养治疗,78例未治疗;营养治疗组的住院天数较未治疗组明显缩短,差异具有统计学意义(P<0.05)。结论 恶性肿瘤住院患者的营养不良发生率升高,且与白蛋白水平密切相关。早期联合应用NRS 2002与PG-SGA进行评估,及时给予营养干预治疗,可以缩短住院时间。
Objective To explore the distribution characteristics of nutritional status in hospitalized patients with malignant tumors,and to analyze the influencing factors of malnutrition and the effect of nutritional therapy on hospitalization outcomes.Methods A total of 199 patients with malignant tumors admitted in hospital from January 2023 to January 2024 were selected as the objects of investigation.Nutritional Risk Screening 2002(NRS 2002)and Patient Generated Subjective Global Assessment(PG-SGA)were used to evaluate the nutritional status within 48 h after admission.The nutritional risk,incidence of malnutrition and influencing factors,and the effect of nutritional therapy on hospitalization outcomes in patients with malignant tumors were analyzed.Results Among the 199 hospitalized patients with malignant tumors,88.44%had nutritional risk,and the incidence of malnutrition was 89.44%.Logistic regression analysis results showed that albumin was an independent influencing factor of malnutrition(P<0.05).Of the 178 malnourished patients with malignant tumors in our hospital,100 were treated with nutritional therapy and 78 were untreated;the hospitalization time in the nutritional treatment group was significantly shorter than that in the untreated group,and the difference was statistically significant(P<0.05).Conclusion The incidence of malnutrition in hospitalized patients with malignant tumors increased and is closely related to albumin level.Early nutritional assessment using NRS 2002 combined with PG-SGA and timely nutritional intervention can shorten the hospitalization time.
作者
苏婷凤
文思思
何媛
谭添
张成芳
王湛泽
SU Tingfeng;WEN Sisi;HE Yuan;TAN Tian;ZHANG Chengfang;WANG Zhanze(Huadu District People's Hospital of Guangzhou,Guangzhou 510800,China)
出处
《临床医学研究与实践》
2026年第6期35-38,共4页
Clinical Research and Practice
基金
2022年广州市花都区医疗卫生一般科研专项项目(No.22-HDWS-022)。
关键词
恶性肿瘤
营养风险筛查2002
患者主观整体评估
住院时间
malignant tumor
Nutritional Risk Screening 2002
Patient Generated Subjective Global Assessment
hospitalization time
