摘要
目的应用营养风险筛查2002（nutritional risk screening 2002，NRS 2002）评分系统对胃癌患者的术前营养风险进行评分，并观察其在我国胃癌患者的适用性及对患者术后结果的影响。方法对我院自2004年1月至2007年12月收治的需行手术治疗的胃癌患者314例，依照结合中国体质指数正常值的NRS 2002评分标准进行术前营养风险评分，观察其对术后并发症、死亡率及住院天数的影响。结果本组可适用NRS 2002评分系统比例占实际总人数的93．1％。术前营养评分≥3分者125例，占胃癌患者的39．8％。术前营养评分≥3分组中的手术后并发症发生率（26．2％）高于术前营养评分〈3分组（13．8％）（P〈0．05），术前营养评分≥3分组中平均住院天数[（19±12）d]高于术前营养评分〈3分组[（14±7）d]，P〈0．01。利用多元logistics回归分析，术前营养评分及胃癌临床病理分期发生术后并发症的OR值分别为0．642（P〈0．05）及1．596（P〈0．01）。住院天数与NRS 2002评分结果之间的相关系数为0．177（P=0．002）。结论胃癌患者术前营养评分（NRS 2002）≥3分预示在术后更易发生并发症和更长的住院时间，提示对术前营养评分（NRS 2002）≥3分的患者在术前需要加强营养支持。
Objective To evaluate the preoperative nutritional status of patients with gastric carcinoma by using the European Nutritional Risk Screening 2002 （NRS 2002 ） and its prediction for postoperative nutrition-related complications. Methods We prospectively evaluated the nutritional risk of 314 gastric cancer patients admitted in one center from 2004 to 2007 with NRS 2002 with China＇s normal body mass index （BMI）, in terms of postoperative complications, mortality and hospital stay. Results NRS 2002 scoring system was applicable in 93.1% cases. Preoperatively 125 patients were of score ≥3, accounting for 39. 8% of this group. The postoperative complication rate （ 26. 2% ） was higher than 13.8% in those with normal preoperative nutritional scores （ NRS 2002 score 〈 3 ） （ P 〈 0. 05 ） ; The odds ratio to develop a complication was 0. 642 in patients with preoperative nutritional risk score （ P 〈 0. 05）, and 1. 596 in patients with clinicopathological stage of gastric cancer （P 〈 0. 01 ）. The correlation between length of hospital stay and nutritional risk was also assessed by Pearson correlation analysis. The Pearson coefficient was 0. 177 （ P = 0. 002）. Conclusion Preoperative nutrition score （ NRS 2002） ≥ 3 predicts higher postoperative complications and longer hospital stay. Preoperative nutritional support is necessary in patients with preoperative nutrition score （ NRS 2002） ≥3.
出处
《中华普通外科杂志》
CSCD
北大核心
2009年第10期824-826,共3页
Chinese Journal of General Surgery
关键词
胃肿瘤
手术后并发症
营养评价
Stomach neoplasms
Postoperative complications
Nutrition assessment
