摘要
目的利用营养风险筛查2002(NRS2002)对我院胃肠外科胃肠道肿瘤患者进行手术前后营养风险筛查,并分析营养风险、营养支持与临床结局的关系。方法选取2010年12月到2011年5月在我院胃肠外科住院的胃肠道肿瘤患者80例,按NRS2002系统评分,并跟踪调查营养应用情况、术后并发症及住院时间。结果存在营养风险和无营养风险患者的营养支持率分别为36.3%和20.0%。肠外营养和肠内营养比值为1.4:1。有营养风险的患者并发症发生率为66.3%。明显高于无营养风险的患者的33.7%(P<0.05);有营养风险的患者平均住院时间为27.31±9.34天,高于无营养风险的23.14±7.50(P<0.05)。结论与无营养风险者相比,有营养风险的胃肠道肿瘤患者术后并发症明显增加,住院时间延长;临床营养支持尚存不合理应用。
Objective To investigate the use of nutritional risk screening 2002（NRS2002） in the patients with gastrointestinal tumors for preoperative nutritional risk screening and to analyze the relationship between nutritional risk,.nutrition support and clinical outcomes.Methods From December 2010 to May 2011,80 cases with gastrointestinal tumors were selected.According to NRS2002 system score,the patients preoperative nutritional risk was evaluated.The application of nutritional supports,postoperative complications and hospitalized times were recorded.Results The nutrition supportive rate in the without nutritional risk and nutritional risk patients were in 36.3% and 20.0% respectively.Parenteral nutrition and enteral nutrition ratio was 1.4：1..The complication rate for patients with nutritional risk was 66.3%..That was significantly higher than that of patients with nutritional risk 33.7%（P0.05）..Nutritional risk patients with an average hospitalization time were 27.31±9.34 days,which comparatively higher than that non-nutritional risk patients 23.14±7.50 （P0.05）.Conclusion By compared with the patients without nutritional risk,the postoperative nutritional complications of gastrointestinal tumor patients with nutritional risk are increased significantly.It would prolong the time of hospitalization.
出处
《岭南现代临床外科》
2011年第6期434-436,共3页
Lingnan Modern Clinics in Surgery
关键词
营养风险筛查2002
胃肠道肿瘤
临床营养支持
Nutritional risk screening 2002
Gastrointestinal tumors
Clinical nutrition support
