摘要
目的：应用微型营养评定（MNA）法调查和分析胃肠道肿瘤病人的营养状态，并比较与其他营养评价方法的相关性。方法：应用MNA法问卷调查、人体测量和实验室检查，对496例胃肠道肿瘤拟手术病人，入院24h内进行营养评价，研究营养不良的发生率，并比较MNA法与人体测量和实验室检查的相关性。结果：①MNA法：胃肠道肿瘤病人中营养不良者84例（16．94％），营养不良危险者211例（42．54％），营养良好者201例（40．52％）。②人体测量：体质指数（BMI）、肱三头肌皮皱厚度（TSF）、上臂围（AC）和上臂肌围（AMC）等指标，病人的营养不良发生率分别为13．5％、21．9％、15．1％和15．5％。③实验室检查：ALB、PA和总淋巴细胞计数，病人的营养不良发生率分别为14．9％、25．4％和30．8％。④MNA法与BMI、ALB、AC、TSF、AMC、TLC的相关系数在0．18～0．53（P〈0．05），有良好的相关性。结论：①应用MNA法评价胃肠道肿瘤病人中营养不良和营养不良高危状态的发生率高。②MNA是一种简单、易行、无创性、适合于外科胃肠道肿瘤病人的营养评价方法。
Objective： To evaluate the nutritional status of gastrointestinal carcinoma patients by mini-nutritional assessment （MNA）, and to compare the relationship with different tranditional evaluative methods. Methods： The nutritional state and the malnutritional incidence were analysed by MNA questionnaire in 496 gastrointestinal carcinoma patients, and the relationship among MNA score and anthropo-metric measurements and laboratory test was studied. Results： ①According to the scores of MNA, 16.94% （84/496） patients were of mal-nutrition and 42.54% （211/496） patients were at risk of mal-nutrition. ②In terms of each single index, BMI,TSF, AC and AMC, the prevalence of malnutrition was 13.5% , 21.9% , 15.1% and 15.5% respectively. ③According to laboratory test, including serum albumin, PA, TLC, the incidence of malnutrition was 14.9% , 25.4% and 30.8%.④There was a significant correlation between the MNA score and tranditional nutritional estimated markers. The correlation coefficients of MNA with BMI, ALB, AC, TSF, AMC and TLC were between 0.18 and 0.53 （P〈0.05）. Conclusion ： The prevalence of malnutrition and the risk of malnutrition is higher in gastrointestinal carcinoma patients by MNA questionnaire, which is a rapid, simple, noninvasive and reliable measure to evaluate the nutritional status of general surgical ptatiens.
出处
《肠外与肠内营养》
CAS
2008年第4期239-241,共3页
Parenteral & Enteral Nutrition
关键词
胃肠道肿瘤
营养不良
微型营养评定
Gastrointestinal neoplasm
Malnutrition
Mini-nutritional assessment
