摘要
目的:调查胃肠癌辅助化疗患者营养状况及膳食营养素摄入情况,为护理人员对患者进行饮食营养护理提供依据。方法:对62例患者采用综合性营养评价法(SGA)调查其总体营养状况;采用询问和称重法相结合的方法,对患者化疗前任意3 d、化疗用药后1~3 d、停药后8~10 d的膳食营养素摄入情况进行调查[7]。对SGA标准下营养良好与营养不良患者传统营养评价指标(BW、BMI、Hb、TLC及ALB)、膳食营养素(能量、蛋白质、脂肪、碳水化合物、膳食纤维、维生素A、维生素C、维生素E、钙、磷、铁、锌、硒)摄入情况进行比较。结果:营养良好14例(22.6%),营养不良48例(77.4%)。营养良好者与营养不良者除BW外,BMI、Hb、TLC及ALB比较差异均有统计学意义(P<0.01),且能量、蛋白质、脂肪、碳水化合物、钙、铁的摄入量比较差异均有统计学意义(P<0.01,P<0.05)。结论:胃肠癌辅助化疗患者普遍存在营养不良状况,分析认为膳食营养的摄入情况在改善患者营养状况中起着重要的作用。肿瘤专科护士应加强营养相关知识的学习,对患者进行专业的饮食营养护理。
Objective ： To investigate the nutritional status and nutrient intake of the gastrointestinal cancer patients with ad- juvant chemotherapy in order to provide the basis for dietary care of the patients. Methods： The subjective global assessment { SGA } was used to investigate the overall nutritional status of 62 patients and the combined inquiry and the weighing method was used to conduct a survey on the nutrient intake of the patients on any 3 days before chemotherapy, 1 ~ 3 days after chemotherapy and on 8 - 10 days after stopping chemotherapy. The indices of traditional nutritional evaluation （BW, BMI, Hb, TLC, and ALB } and nutrient intake I energy, pr0tein, fat, carbohydrates, dietary fiber, vitamin A, vitamin C, vitamin E, calcium, phos- phorus, iron, zinc, selenium） were compared by SGA standard between the well- nourished and malnourished patients. Re- suits ： 14 patients were well - nourished （22.6% } and 48 patients were malnourished （77.4% }. The differences in the compar- ison of BMI, Hb, TLC and ALB except BW were statistically significant between the well - nourished and malnourished patients （P 〈 0.01 ） ; the comparison of the intake of energy, protein, fat, carbohydrates, calcit^m and iron was significantly different （P 〈0. 01, P 〈 0.05}. Conclusion： The malnutrition was commonly found in the gastrointestinal cancer patients with adjuvant chemotherapy, the analysis results showed that nutrient intake plays an important role in the improvement of the nutritional status of the patients. The nurses of tumor specialty should study more nutrition - related knowledge S~ as to provide the professional di- etary care for the patients.
基金
南京市卫生局医学科技发展立项课题(YKK09102)
关键词
胃肠癌
辅助化疗
营养状况
膳食营养素
Gastrointestinal cancer
Adjuvant chemotherapy
Nutritional status
Nutrient
