摘要
目的 调查手术治疗的妇科恶性肿瘤住院患者营养风险和营养不足发生率以及营养支持状况.方法 采用定点连续抽样,以2013年1月1日至12月31日在北京医院妇科住院、接受手术治疗的237例恶性肿瘤患者为研究对象,入院后第2天早晨进行营养风险筛查,营养风险筛查评分≥3分认为存在营养风险,营养不足判断标准遵循营养风险筛查2002方法,描述其术后营养支持状态.结果 营养风险筛查的适用率为100％;营养不足占5.1％ （12/237）,其中≥65岁者营养不足发生率（9.2％）显著高于＜65岁者（2.7％）（P=0.034）;妇科恶性肿瘤总营养风险发生率为21.1％（50/237）,其中≥65岁者营养风险发生率（29.9％）显著高于＜65岁者（16.0％）（P=0.014）;卵巢癌和子宫内膜癌患者的营养不足和营养风险发生率相对较高,而阴道癌和外阴癌患者的发生率相对较低;237例患者中,术后接受营养支持者共47例（19.8％）,均为肠外营养,其中,应用“全合一”肠外营养者13例（5.5％）,单瓶输注（给予“葡萄糖、脂肪乳、氨基酸”中两种以上者）34例（14.3％）.无接受管饲肠内营养的病例;存在营养风险的50例患者中,接受肠外营养支持33例（66％）;无营养风险的187例患者中,接受肠外营养支持14例（7.5％）.结论 妇科恶性肿瘤住院患者存在营养风险;但老年患者营养风险发生率较高,应加强对老年患者的术后营养支持.
Objective To investigate the prevalence of nutritional risk and malnutrition,and the application of nutrition support in hospitalized patients with surgically treated gynecologic malignant tumors.Methods 237 hospitalized patients with malignant tumors receiving surgery in Department of Gynecology of Beijing Hospital from January 1 to December 31,2013 were continuously sampled.Nutritional Risk Screening 2002 （NRS 2002） was performed in the morning the day after admission.NRS 2002 score ≥ 3 was considered indicating nutritional risk.Malnutrition was judged in accordance with NRS 2002.The application of postoperative nutrition support was recorded.Results The nutritional risk screening was applicable in all the patients （100％）.The prevalence of malnutrition was 5.1％ （12/237） in the whole study population,9.2％ in the elderly （≥65 years）,significantly higher than that in the patients ＜ 65 years （2.7％） （P =0.034）.The nutritional risk rate was 21.1％ （50/237）,which was 29.9％ in the patients ≥ 65 years and significantly lower in the patients ＜ 65 years （16.0％） （P =0.014）.The nutritional risk rate in the patients with ovarian and endometrial cancers was higher the rate in those patients with vaginal and vulvar cancer was lower.47 patients （19.8％）received postoperative nutrition support,all being parenteral nutrition,including total parenteral nutrition in 13 patients （5.5％） and single transfusion （providing two or more than two amongs glucose,fat emulsion,andi amino acids） in 34 （14.3％）.Tube feeding was not applied in all the patients.33 cases （66％） in the 50 patients with nutritional risk were supported by parenteral nutrition,while 14 cases （7.5％） in the 187 patients without nutritional risk were supported by parenteral nutrition.Conclusions There is nutritional risk in the patients with gynecology malignant tumors,the rate of which is higher in elderly patents （≥ 65 years） than in the patients of other age groups.Therefor
出处
《中华临床营养杂志》
CAS
CSCD
2014年第5期273-276,共4页
Chinese Journal of Clinical Nutrition
关键词
妇科手术
营养风险
营养不足
恶性肿瘤
肠外营养
Gynecologic operation
Nutritional risk
Malnutrition
Malignant tumor
Parenteral nutrition
