摘要
目的比较主观综合评价法(SGA)和营养风险筛查工具2002(NRS-2002)用于消化道恶性肿瘤患者术后并发症的预测价值。方法选取消化道恶性肿瘤患者120例作为研究对象,分别应用SGA和NRS-2002评估患者的营养状况,以及与严重并发症、感染性并发症和总并发症发生率的相关性。多危险因素分析SGA和NRS-2002与术后并发症的关系。结果按照SGA评分结果,无营养不良49例(40.83%),中度营养不良39例(32.50%),重度营养不良32例(26.67%)。NRS-2002评分结果,无营养风险44例(36.67%),具有营养风险76例(63.33%)。术后发生不同程度的并发症者共25例(20.83%)。两种评估方法与严重并发症、感染性并发症和总并发症发生率具有相关性,差异均有显著性(P<0.05)。多因素分析结果显示,NRS-2002和SGA评分均是消化道恶性肿瘤术后并发症发生的独立危险因素。结论 SGA评分和NRS-2002均能评估出消化道肿瘤患者存在着不同程度的营养不良情况,且SGA评分和NRS-2002与术后并发症的发生关系密切,预测并发症发生风险价值都比较高。
Objective To discuss predictive value of two preoperative nutritional assessment methods on postoperative complications of patients with gastrointestinal cancer. Methods 120 cases of gastrointestinal cancer patients were selected as research subjects. SGA and NRS-2002 were used to assess the nutritional status of the patient,as well as its correlation with serious complications,infectious complications and overall complication rate. To analysis the relationship between SGA and NRS-2002 with multiple risk factors for postoperative complications. Results According to SGA score results,there were 49 cases without malnutrition（40.83%）,moderate malnutrition 39 cases（32.50%）,and severe malnutrition in 32 cases（26.67%）. According to NRS-2002 score results,there were no nutritional risk 44 cases（36.67%）,nutritional risk 76 cases（63.33%）. A total of 25 cases（20.83%） occured postoperative complications. Evaluation methods were associated with serious complications,infectious complications and overall complication rate with statistically significant difference（P〈0.05）. Multivariate analysis showed that,NRS-2002 and SGA rates were independent risk factors for postoperative complications of gastrointestinal cancer. Conclusion SGA score and NRS-2002 can predict the degree of malnutrition of patients with gastrointestinal cancer,and the SGA score and NRS-2002 and postoperative complications is closely related. They have high prediction value for the risk of complications.
出处
《临床和实验医学杂志》
2017年第7期708-711,共4页
Journal of Clinical and Experimental Medicine
关键词
消化道恶性肿瘤
营养状况
主观综合评价法
营养风险筛查工具2002
并发症
预测价值
Gastrointestinal cancer
Nutritional status
Subjective evaluation method
Nutritional risk screening tool 2002
Complication
Predictive value
