不同筛查工具对食管癌患者营养筛查的比较

Comparison of different tools for nutritional screening in patients with esophageal cancer

目的本研究前瞻性评估食管癌患者的营养风险,比较不同营养筛查工具间的差异。方法前瞻性评估54例食管癌患者营养状况,利用营养风险筛查(NRS 2002)及主观全面评价法(SGA)作营养筛查,测定体重指数判断营养状况,分析各营养筛查方法的关系。结果 54例患者均完成NRS 2002和SGA。用体重指数(BMI)中国标准判定营养不足、超重和肥胖发生率分别为7.4%、18.5%和5.6%。NRS 2002筛查显示营养风险发生率为79.6%,SGA筛查显示营养不足发生率为81.5%。两种方法在营养不足筛查结果间差异无统计学意义(P=0.723)。结论 NRS2002和SGA均适用于食管癌患者营养风险筛查。

Objective To prospectively assess the nutritional risk in patients with esophageal cancer,and compare the feasibility and results of nutritional risk screening 2002(NRS 2002) and subjective globe assessment(SGA).Methods Fifty four patients with esophageal cancer were selected for nutritional status survey including human body measurement,blood biochemical index, subjective global assessment(SGA),and nutritional risk screening 2002(NRS 2002).Results All patients completed both NRS 2002 and SGA.The incidences of undernutrition,overweight,and obesity judged by Chinese standard of body mass index(BMI) were 7.4%,18.5%and 5.6%. respectively.The incidences of nutritional risk or undernutrition screened by NRS2002 and SGA were 79.6%and 81.5%,respectively.No significant difference was observed between the results of these two screening tools(P = 0.723).Conclusion Both NRS 2002 and SGA were feasible in screening undernutrition in esophageal cancer patients.