杭州市某三甲医院恶性肿瘤患者营养状况调查与分析
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摘要
目的了解分析杭州市某三甲医院恶性肿瘤患者的营养状况,以期为恶性肿瘤患者临床营养干预提供客观依据。方法选取2017年1月至12月恶性肿瘤住院患者320例为研究对象,采用PG-SGA、实验室检查及体格检查评估患者的营养状况。结果 59. 37%的肿瘤患者存在不同程度的营养不良,其中重度营养不良占比35.00%,中度营养不良占比24. 37%;消化道肿瘤患者营养不良发生率明显高于非消化道肿瘤患者(65.21%vs. 52. 80%),差异具有统计学意义(χ2=8. 128,P<0. 01);患者的营养状况与体质指数、血红蛋白、血清白蛋白、血清前白蛋白均呈负相关(P<0. 05)。结论恶性肿瘤患者营养不良发生率高,患者营养状况与肿瘤类别、体质指数、血红蛋白、血清白蛋白、血清前白蛋白值均具有相关性。
Objective To understand the nutritional status quo of patients with malignant tumor admitted to a grade-A tertiary hospital in Hangzhou. Methods Firstly,320 patients with malignant tumor who were admitted and hospitalized to a grade-A tertiary hospital in Hangzhou during the period from January to December 2017 were chosen as the subjects of study. Secondly,PG-SGA,laboratory examination and physical examination were used for an assessment of the nutritional status of the subjects. Results Malnutrition of different degrees was found in 59.37% of the subjects among whom 35.00%was of severe dystrophy and 24. 37% was of moderate dystrophy. The rate of incidence of malnutrition in patients with digestive tract cancer( 65.21%) was significantly higher than that( 52.80%) in patients with non alimentary tract cancer.The difference was statistically significant( χ2= 8. 128,P < 0. 01). The nutritional status of the patients was negatively correlated with body mass index,hemoglobin,serum albumin and serum prealbumin( P<0.05). Conclusions The rate of incidence of malnutrition in patients with malignant tumor is high. The nutritional status of patients is correlated with tumor types,body mass index,hemoglobin,serum albumin and serum prealbumin.
Objective To understand the nutritional status quo of patients with malignant tumor admitted to a grade-A tertiary hospital in Hangzhou. Methods Firstly,320 patients with malignant tumor who were admitted and hospitalized to a grade-A tertiary hospital in Hangzhou during the period from January to December 2017 were chosen as the subjects of study. Secondly,PG-SGA,laboratory examination and physical examination were used for an assessment of the nutritional status of the subjects. Results Malnutrition of different degrees was found in 59.37% of the subjects among whom 35.00%was of severe dystrophy and 24. 37% was of moderate dystrophy. The rate of incidence of malnutrition in patients with digestive tract cancer( 65.21%) was significantly higher than that( 52.80%) in patients with non alimentary tract cancer.The difference was statistically significant( χ2= 8. 128,P < 0. 01). The nutritional status of the patients was negatively correlated with body mass index,hemoglobin,serum albumin and serum prealbumin( P<0.05). Conclusions The rate of incidence of malnutrition in patients with malignant tumor is high. The nutritional status of patients is correlated with tumor types,body mass index,hemoglobin,serum albumin and serum prealbumin.
引文
[1]李晶,赵化荣.恶性肿瘤患者营养状况评估的研究进展[J].现代肿瘤医学,2018,26(1):145-148.
[2]徐光齐,罗智鹏,石华伟,等.常见恶性肿瘤患者的营养状况与临床结局的相关性研究[J].肿瘤代谢与营养电子杂志,2017,4(2):174-178.
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[6]Vigano AL,di Tomasso J,Kilgour RD,et al. The abridged patientgenerated subjective flobal assessment is a useful tool for early detection and characterization of cancer cachexia[J]. J Acad Nutr Diet,2014,114(7):1088-1098.
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[9]Mcclave SA,Dibaise JK,Mullin GE,et al. ACG clinical guideline:nutrition therapy in the adult hospitalized patient[J]. Am J Gastroenterol,2016,111(3):315-334.
[10]徐超,张罡,王芳,等.海南某医院肿瘤化疗患者营养状况及影响因素分析[J].海南医学,2017,28(23):3940-3942.
[11]Hopkinson JB. Nutritional support of the elderly cancer patient:the role of the nurse[J]. Nutrition,2015,31(4):598-602.
[12]贺英,林欣,刘莉,等.重庆市某医院常见恶性肿瘤住院患者营养状况调查[J].肿瘤代谢与营养电子杂志,2017,4(1):45-50.
[13]申丽娟,冷亮,黄玉香,等.深圳市某三甲医院胃肠道肿瘤患者营养风险筛查和营养支持情况调查研究[J].现代诊断与治疗,2017,28(16):2946-2948.
[14]陈娟,杜成,丁震宇,等.恶性肿瘤患者营养状况及相关影响因素分析[J].现代肿瘤医学,2018,26(1):91-94.
[2]徐光齐,罗智鹏,石华伟,等.常见恶性肿瘤患者的营养状况与临床结局的相关性研究[J].肿瘤代谢与营养电子杂志,2017,4(2):174-178.
[3] Gillis C,Nguyen TH,Liberman AS,et al. Nutrition adequacy in enhanced recovery after surgery:a single academic center experience. Nutr Clin Pract,2015,30(3):414-419.
[4]Wilbur MB,Mannschreck DB,Angarita AM,et al. Unplanned 30-day hospital readmission as a quality measure in gynecologic oncology[J]. Gynecol Oncol,2016,143(3):604-610.
[5]孔慧,俞新燕,梁冠冕.营养宣教对胃肠道肿瘤患者膳食营养状况的影响研究[J].中医药管理杂志,2016,24(23):12-14.
[6]Vigano AL,di Tomasso J,Kilgour RD,et al. The abridged patientgenerated subjective flobal assessment is a useful tool for early detection and characterization of cancer cachexia[J]. J Acad Nutr Diet,2014,114(7):1088-1098.
[7]Zhang L,Lu Y,Fang Y. Nutritional status and related factors of patients with advanced gastrointestinal cancer[J]. Bri J Nutr,2014,111(7):1239-1244.
[8]叶向红,衷倩雯,董露.胃肠道肿瘤术后辅助化疗病人营养不良现状调查与分析[J].肠外与肠内营养,2017,24(6):336-340.
[9]Mcclave SA,Dibaise JK,Mullin GE,et al. ACG clinical guideline:nutrition therapy in the adult hospitalized patient[J]. Am J Gastroenterol,2016,111(3):315-334.
[10]徐超,张罡,王芳,等.海南某医院肿瘤化疗患者营养状况及影响因素分析[J].海南医学,2017,28(23):3940-3942.
[11]Hopkinson JB. Nutritional support of the elderly cancer patient:the role of the nurse[J]. Nutrition,2015,31(4):598-602.
[12]贺英,林欣,刘莉,等.重庆市某医院常见恶性肿瘤住院患者营养状况调查[J].肿瘤代谢与营养电子杂志,2017,4(1):45-50.
[13]申丽娟,冷亮,黄玉香,等.深圳市某三甲医院胃肠道肿瘤患者营养风险筛查和营养支持情况调查研究[J].现代诊断与治疗,2017,28(16):2946-2948.
[14]陈娟,杜成,丁震宇,等.恶性肿瘤患者营养状况及相关影响因素分析[J].现代肿瘤医学,2018,26(1):91-94.