摘要
目的探讨老年胃癌根治术病人术前营养状况与预后及生活质量的关系。方法 2014年1~12月对120例老年胃癌根治术病人术前应用营养风险筛查量表(NRS2002)对其营养状况进行评估,并根据评估结果将病人分为无营养风险组(NRS2002<3分,n=48)及营养风险组(NRS2002≥3分,n=72),随访2年,记录2组病人术后1年、术后2年存活率及复发率情况,并应用癌症病人生活质量量表(QLQ-30)对2组病人生活质量进行评价。结果营养风险组术后感染率显著高于非营养风险组,而术后1年、术后2年存活率明显低于非营养风险组(P<0.05),营养风险组病人术后社会功能、情绪功能、认知功能、角色功能、躯体功能等维度评分及总生活质量评分均明显低于非营养风险组(P<0.05)。结论术前营养状况对老年胃癌根治术病人术后存活率及生活质量有明显的影响。术前对老年胃癌营养风险人群加强营养干预将有助于提高病人术后存活率及生活质量。
Objective To investigate the relationship of nutritional status with prognosis and quality of life in elderly patients undergoing radical gastrectomy.Methods A total of 120 elderly patients undergoing radical gastrectomy gastric cancer were assessed with Nutritional Risk Screening Scale（NRS2002） from January 2014 to December 2014.The patients were divided into non-nutritional risk group（NRS20023 points,n = 48） and nutritional risk group（NRS2002≥3 points,n = 72） according to the assessment.The patients were followed up for 2 years.The survival rate after 1 year or 2 years and the recurrence rate of the two groups were recorded.The quality of life of patients in both groups were evaluated with Quality of Life Scale（QLQ-30）.Results The postoperative infection rate of nutrition risk group was higher than that in non-nutrition risk group,but the 1-year and 2-year survival rate was lower than that in non-nutrition risk group（P〈0.05）.The postoperative scores of social function,emotional function,cognitive function,role function,physical function and overall quality of life in nutrition risk group were lower than those in non-nutritional risk group（P〈0.05）.Conclusions Preoperative nutritional status shows significant influence on postoperative survival rate and quality of life in the elderly patients with gastric cancer after radical surgery.Preoperative nutritional intervention on the nutritional risk will help to improve the survival rate of patients and quality of life.
出处
《实用老年医学》
CAS
2018年第1期85-88,共4页
Practical Geriatrics
关键词
胃癌根治术
术前营养状况
预后
生活质量
radical gastrectomy
preoperative nutritional status
prognosis
quality of life
