【摘要】 目的 調(diào)查胃癌患者的營(yíng)養(yǎng)風(fēng)險(xiǎn)及營(yíng)養(yǎng)支持應(yīng)用現(xiàn)狀。 方法 2009年9月-2010年1月，對(duì)某三甲醫(yī)院普外科收治的120例胃癌住院患者營(yíng)養(yǎng)情況進(jìn)行營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查2002（nutritional risk screening 2002，NRS 2002）評(píng)估，并就營(yíng)養(yǎng)支持應(yīng)用方式進(jìn)行分析。 結(jié)果 所有患者中營(yíng)養(yǎng)不足和營(yíng)養(yǎng)風(fēng)險(xiǎn)的發(fā)生率分別為11.7%和27.5%；在33例有營(yíng)養(yǎng)風(fēng)險(xiǎn)患者中，有26例（78.8％）接受了營(yíng)養(yǎng)支持；在無(wú)營(yíng)養(yǎng)風(fēng)險(xiǎn)的87例患者中，有30例（34.5％）接受了營(yíng)養(yǎng)支持。 結(jié)論 對(duì)有營(yíng)養(yǎng)風(fēng)險(xiǎn)的患者進(jìn)行必要的營(yíng)養(yǎng)支持，對(duì)于減少患者住院期間感染性并發(fā)癥或其他不良臨床結(jié)局的發(fā)生有積極作用。NRS 2002的方法簡(jiǎn)便，適用于胃癌患者的營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查，但醫(yī)護(hù)人員需要進(jìn)一步加強(qiáng)對(duì)腸外、腸內(nèi)營(yíng)養(yǎng)指南的認(rèn)識(shí)。
【Abstract】 Objective To investigate the clinical situation of nutritional risk screening for hospitalized patients with gastric cancer. Methods From September 2009 to January 2010, we applied nutrition risk screening 2002 (NRS 2002) to investigate the nutritional status of 120 hospitalized gastric cancer patients in the surgery department of a tertiary hospital, and analyzed the way of nutritional support for these patients. Results Among all the patients, the incidences of undernutrtion and nutritional risk were respectively 11.7% and 27.5%. Twenty-six out of the 33 nutritional risk patients received nutrition support, and 30 out of the 87 patients without nutritional risk received nutrition support. Conclusions Nutritional support for patients with nutritional risk is important in decreasing the occurrence of in-hospital infectious complications and other bad clinical outcomes. NRS 2002 is a simple and easy tool for predicting the nutrition risk in hospitalized gastric cancer patients, but the guideline of enteral nutrition and parenteral nutrition must be reinforced among doctors and nurses.
引用本文： 印義瓊,劉春娟,劉麗容,鐘靜,文曰. 胃癌患者營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查臨床現(xiàn)狀調(diào)查及分析. 華西醫(yī)學(xué), 2011, 26(10): 1536-1538. doi: 復(fù)制
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| 3. | Kondrup J, Rasmussen HH, Hamberg O, et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials[J]. Clin Nutr, 2003, 22(3): 321-336. |
| 4. | Kondrup J, Allison SP, Elia M, et al. ESPEN guidelines for nutrition screening 2002[J]. Clin Nutr, 2003, 22(4): 415-421. |
| 5. | 蔣朱明, 陳偉, 朱賽楠, 等. 我國(guó)東中西部大城市三甲醫(yī)院營(yíng)養(yǎng)不良(不足)、營(yíng)養(yǎng)風(fēng)險(xiǎn)發(fā)生率及營(yíng)養(yǎng)支持應(yīng)用狀況調(diào)查[J]. 中國(guó)臨床營(yíng)養(yǎng)雜志, 2008, 16(6): 335-337. |
| 6. | Jie B, Jiang ZM, Nolan MT, et al. Impact of nutritional support on clinical outcome in patients at nutritional risk: a multicenter, prospective cohort study in Baltimore and Beijing teaching hospitals [J]. Nutrition, 2010, 26(11-12): 1088-1093. |
| 7. | Schiesser M, Müller S, Kirchhoff P, et al. Assessment of a novel screening score for nutritional risk in predicting complications in gastro-intestinal surgery [J]. Clin Nutr, 2008, 27(4): 565-570. |
| 8. | 陳博, 伍曉汀. 住院患者營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查[J]. 華西醫(yī)學(xué), 2011, 26(2): 114-117. |
| 9. | American Gastroenterological Association (AGA). American Gastroenterological Association medical position statement: parenteral nutrition[J]. Gastroenterology, 2001, 121(4): 966-969. |
| 10. | Lochs H, Allison SP, Meier R, et al. Introductory to the ESPEN guidelines on enteral nutrition: terminology, definitions and general topics[J]. Clin Nutr, 2006; 25(2): 180-186. |
| 11. | 中華醫(yī)學(xué)會(huì). 臨床診療指南-腸外腸內(nèi)營(yíng)養(yǎng)學(xué)分冊(cè)[M]. 北京: 人民衛(wèi)生出版社, 2007: 15-81. |
| 12. | 陳偉, 蔣朱明, 張永梅, 等. 歐洲營(yíng)養(yǎng)風(fēng)險(xiǎn)調(diào)查方法在中國(guó)住院患者的臨床可行性研究[J]. 中國(guó)臨床營(yíng)養(yǎng)雜志, 2005, 13(3): 137-141. |
| 13. | The Veterans Affairs Total Parenteral Nutrition Cooperation Study Group. Perioperative total parenteral nutrition in surgical patients[J]. N Engl J Med, 1991, 325(8): 525-532. |
- 1. 吳國(guó)豪, 秦新裕. 胃癌患者的營(yíng)養(yǎng)支持[J]. 中華醫(yī)學(xué)雜志, 2004, 84(3): 179-181.
- 2. 印義瓊, 李卡, 陳增蓉. 老年腹部疾病病人的外科護(hù)理[J]. 華西醫(yī)學(xué), 2006, 21(3): 605-606.
- 3. Kondrup J, Rasmussen HH, Hamberg O, et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials[J]. Clin Nutr, 2003, 22(3): 321-336.
- 4. Kondrup J, Allison SP, Elia M, et al. ESPEN guidelines for nutrition screening 2002[J]. Clin Nutr, 2003, 22(4): 415-421.
- 5. 蔣朱明, 陳偉, 朱賽楠, 等. 我國(guó)東中西部大城市三甲醫(yī)院營(yíng)養(yǎng)不良(不足)、營(yíng)養(yǎng)風(fēng)險(xiǎn)發(fā)生率及營(yíng)養(yǎng)支持應(yīng)用狀況調(diào)查[J]. 中國(guó)臨床營(yíng)養(yǎng)雜志, 2008, 16(6): 335-337.
- 6. Jie B, Jiang ZM, Nolan MT, et al. Impact of nutritional support on clinical outcome in patients at nutritional risk: a multicenter, prospective cohort study in Baltimore and Beijing teaching hospitals [J]. Nutrition, 2010, 26(11-12): 1088-1093.
- 7. Schiesser M, Müller S, Kirchhoff P, et al. Assessment of a novel screening score for nutritional risk in predicting complications in gastro-intestinal surgery [J]. Clin Nutr, 2008, 27(4): 565-570.
- 8. 陳博, 伍曉汀. 住院患者營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查[J]. 華西醫(yī)學(xué), 2011, 26(2): 114-117.
- 9. American Gastroenterological Association (AGA). American Gastroenterological Association medical position statement: parenteral nutrition[J]. Gastroenterology, 2001, 121(4): 966-969.
- 10. Lochs H, Allison SP, Meier R, et al. Introductory to the ESPEN guidelines on enteral nutrition: terminology, definitions and general topics[J]. Clin Nutr, 2006; 25(2): 180-186.
- 11. 中華醫(yī)學(xué)會(huì). 臨床診療指南-腸外腸內(nèi)營(yíng)養(yǎng)學(xué)分冊(cè)[M]. 北京: 人民衛(wèi)生出版社, 2007: 15-81.
- 12. 陳偉, 蔣朱明, 張永梅, 等. 歐洲營(yíng)養(yǎng)風(fēng)險(xiǎn)調(diào)查方法在中國(guó)住院患者的臨床可行性研究[J]. 中國(guó)臨床營(yíng)養(yǎng)雜志, 2005, 13(3): 137-141.
- 13. The Veterans Affairs Total Parenteral Nutrition Cooperation Study Group. Perioperative total parenteral nutrition in surgical patients[J]. N Engl J Med, 1991, 325(8): 525-532.