目的分析以营养风险筛查2002(nutritional risk screening 2002,NRS-2002)量表评分为基础的营养干预联合肠内营养泵对胸段食管癌患者营养状态、生命质量的影响。方法回顾性选取2022-08/2024-07月作者医院收治的120例胸段食管癌患者,根...目的分析以营养风险筛查2002(nutritional risk screening 2002,NRS-2002)量表评分为基础的营养干预联合肠内营养泵对胸段食管癌患者营养状态、生命质量的影响。方法回顾性选取2022-08/2024-07月作者医院收治的120例胸段食管癌患者,根据营养干预模式分为试验组(n=62)和对照组(n=58)。对照组采用常规肠内营养泵干预模式,试验组在对照组基础上联合以NRS-2002量表评分为基础的营养干预模式。比较两组患者干预前后主观整体评估(patient-generated subjective global assessment,PG-SGA)量表评分、营养指标[血红蛋白(hemoglobin,Hb)、白蛋白(albumin,ALB)和前白蛋白(prealbumin,PA)]、欧洲癌症研究与治疗组织制定的癌症患者生命质量测定量表(European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30,EORTC QLQ-C30)得分及并发症。结果两组患者干预后PG-SGA量表评分均低于干预前,且试验组低于对照组(P均<0.05)。两组患者干预后Hb、ALB及PA水平均高于干预前,且试验组高于对照组(P均<0.001)。两组患者干预后EORTC QLQ-C30各维度评分均高于干预前,且试验组高于对照组(P均<0.05)。两组患者并发症发生率比较差异无统计学意义(P>0.05)。结论以NRS-2002量表评分为基础的营养干预联合肠内营养泵应用于胸段食管癌患者,有助于改善患者营养状态,提高生命质量,安全可行。展开更多
营养不良是恶性肿瘤患者较为常见的合并症,尤其在老年患者中具有较高的发生率,直接影响治疗效果及预后转归[1]。目前,临床上针对恶性肿瘤患者营养不良的诊断主要借助患者主观整体评估(Patient-Generated Subject Global Assessment,PGSG...营养不良是恶性肿瘤患者较为常见的合并症,尤其在老年患者中具有较高的发生率,直接影响治疗效果及预后转归[1]。目前,临床上针对恶性肿瘤患者营养不良的诊断主要借助患者主观整体评估(Patient-Generated Subject Global Assessment,PGSGA),该诊断工具具有较高的信效度[2]。展开更多
目的:探讨基于年龄、体质指数、进食情况、体重减少情况的营养风险评估工具(Assessment of Nutritional Risk based on BodyMass Index,Intake and Weight loss,AIWW)和营养风险筛查2002(NRS2002)用于胃癌住院病人营养风险筛查的效果,...目的:探讨基于年龄、体质指数、进食情况、体重减少情况的营养风险评估工具(Assessment of Nutritional Risk based on BodyMass Index,Intake and Weight loss,AIWW)和营养风险筛查2002(NRS2002)用于胃癌住院病人营养风险筛查的效果,分析其在胃癌病人中的适用性。方法:采用便利抽样法,选取2023年10月—2024年4月在广西某三级甲等肿瘤医院胃及腹部肿瘤病区就诊的376例胃癌病人,于病人入院后24 h内用AIWW和NRS2002进行营养筛查,以改良版病人主观整体评估(MPG-SGA)评估结果为营养不良的诊断标准,计算AIWW和NRS2002的灵敏度、特异度、阳性预测值和阴性预测值、阳性似然比和阴性似然比、Kappa值以及受试者特征(ROC)曲线和曲线下面积。结果:共纳入376例胃癌病人,以MPG-SGA为诊断标准,254例(67.6%)病人出现营养不良;使用AIWW、NRS2002诊断胃癌病人营养不良风险分别为67.0%、34.8%。AIWW、NRS2002诊断营养不良的灵敏度分别为0.98,0.51,特异度分别为0.97,0.98;AIWW和NRS2002与MPG-SGA的Kappa一致性结果分别为0.928,0.389;ROC曲线下面积分别为0.982,0.788。结论:AIWW、NRS2002均能为胃癌病人营养不良风险筛查提供依据,且两种工具的一致性较好。诊断效能评价中,AIWW灵敏度较高,与MPG-SGA的一致性较好,且条目简单易于评估。因此,建议使用AIWW于胃癌病人的营养筛查。展开更多
BACKGROUND Malnutrition exacerbates the deterioration in patients with advanced gas-trointestinal tumors.AIM To analyze the effect of enteral nutritional support based on Nutrition Risk Screening 2002(NRS2002)risk ass...BACKGROUND Malnutrition exacerbates the deterioration in patients with advanced gas-trointestinal tumors.AIM To analyze the effect of enteral nutritional support based on Nutrition Risk Screening 2002(NRS2002)risk assessment on nutritional function in patients with gastrointestinal tumors.METHODS One hundred twelve patients from April 2022 to April 2024 were included for observation and were divided into a control group and an observation group by random number method,56 each.Both groups received treatment for four consecutive weeks.The control group received routine enteral nutrition support,while the observation group received enteral nutrition support based on the NRS2002 risk assessment.Nutritional function,intestinal mucosal barrier function,quality of life,and complication rate were compared between the two groups.Statistical analysis was completed using SPSS26.0 and Excel.RESULTS After nutritional intervention,transferrin,albumin,hemoglobin,and diamine oxidase levels in the observation group were higher than those in the control group,while C-reactive protein,tumor necrosis factorα,and quality of life scores were lower,with significant differences(P<0.05).There was no significant difference in complications between groups(P>0.05),but the complication rate was lower in the observation group.CONCLUSION Enteral nutritional support based on NRS2002 risk assessment for patients with gastrointestinal tumors positively impacts nutritional status and promotes intestinal mucosal barrier function recovery.Patients’quality of life improved,and the incidence of adverse reactions decreased,indicating clinical promotion and application value.展开更多
文摘目的分析以营养风险筛查2002(nutritional risk screening 2002,NRS-2002)量表评分为基础的营养干预联合肠内营养泵对胸段食管癌患者营养状态、生命质量的影响。方法回顾性选取2022-08/2024-07月作者医院收治的120例胸段食管癌患者,根据营养干预模式分为试验组(n=62)和对照组(n=58)。对照组采用常规肠内营养泵干预模式,试验组在对照组基础上联合以NRS-2002量表评分为基础的营养干预模式。比较两组患者干预前后主观整体评估(patient-generated subjective global assessment,PG-SGA)量表评分、营养指标[血红蛋白(hemoglobin,Hb)、白蛋白(albumin,ALB)和前白蛋白(prealbumin,PA)]、欧洲癌症研究与治疗组织制定的癌症患者生命质量测定量表(European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30,EORTC QLQ-C30)得分及并发症。结果两组患者干预后PG-SGA量表评分均低于干预前,且试验组低于对照组(P均<0.05)。两组患者干预后Hb、ALB及PA水平均高于干预前,且试验组高于对照组(P均<0.001)。两组患者干预后EORTC QLQ-C30各维度评分均高于干预前,且试验组高于对照组(P均<0.05)。两组患者并发症发生率比较差异无统计学意义(P>0.05)。结论以NRS-2002量表评分为基础的营养干预联合肠内营养泵应用于胸段食管癌患者,有助于改善患者营养状态,提高生命质量,安全可行。
文摘营养不良是恶性肿瘤患者较为常见的合并症,尤其在老年患者中具有较高的发生率,直接影响治疗效果及预后转归[1]。目前,临床上针对恶性肿瘤患者营养不良的诊断主要借助患者主观整体评估(Patient-Generated Subject Global Assessment,PGSGA),该诊断工具具有较高的信效度[2]。
文摘目的:探讨基于年龄、体质指数、进食情况、体重减少情况的营养风险评估工具(Assessment of Nutritional Risk based on BodyMass Index,Intake and Weight loss,AIWW)和营养风险筛查2002(NRS2002)用于胃癌住院病人营养风险筛查的效果,分析其在胃癌病人中的适用性。方法:采用便利抽样法,选取2023年10月—2024年4月在广西某三级甲等肿瘤医院胃及腹部肿瘤病区就诊的376例胃癌病人,于病人入院后24 h内用AIWW和NRS2002进行营养筛查,以改良版病人主观整体评估(MPG-SGA)评估结果为营养不良的诊断标准,计算AIWW和NRS2002的灵敏度、特异度、阳性预测值和阴性预测值、阳性似然比和阴性似然比、Kappa值以及受试者特征(ROC)曲线和曲线下面积。结果:共纳入376例胃癌病人,以MPG-SGA为诊断标准,254例(67.6%)病人出现营养不良;使用AIWW、NRS2002诊断胃癌病人营养不良风险分别为67.0%、34.8%。AIWW、NRS2002诊断营养不良的灵敏度分别为0.98,0.51,特异度分别为0.97,0.98;AIWW和NRS2002与MPG-SGA的Kappa一致性结果分别为0.928,0.389;ROC曲线下面积分别为0.982,0.788。结论:AIWW、NRS2002均能为胃癌病人营养不良风险筛查提供依据,且两种工具的一致性较好。诊断效能评价中,AIWW灵敏度较高,与MPG-SGA的一致性较好,且条目简单易于评估。因此,建议使用AIWW于胃癌病人的营养筛查。
文摘BACKGROUND Malnutrition exacerbates the deterioration in patients with advanced gas-trointestinal tumors.AIM To analyze the effect of enteral nutritional support based on Nutrition Risk Screening 2002(NRS2002)risk assessment on nutritional function in patients with gastrointestinal tumors.METHODS One hundred twelve patients from April 2022 to April 2024 were included for observation and were divided into a control group and an observation group by random number method,56 each.Both groups received treatment for four consecutive weeks.The control group received routine enteral nutrition support,while the observation group received enteral nutrition support based on the NRS2002 risk assessment.Nutritional function,intestinal mucosal barrier function,quality of life,and complication rate were compared between the two groups.Statistical analysis was completed using SPSS26.0 and Excel.RESULTS After nutritional intervention,transferrin,albumin,hemoglobin,and diamine oxidase levels in the observation group were higher than those in the control group,while C-reactive protein,tumor necrosis factorα,and quality of life scores were lower,with significant differences(P<0.05).There was no significant difference in complications between groups(P>0.05),but the complication rate was lower in the observation group.CONCLUSION Enteral nutritional support based on NRS2002 risk assessment for patients with gastrointestinal tumors positively impacts nutritional status and promotes intestinal mucosal barrier function recovery.Patients’quality of life improved,and the incidence of adverse reactions decreased,indicating clinical promotion and application value.
