结直肠癌患者营养不良评估及其与术后并发症的相关研究

Relationship of nutritional risk screening and postoperative complications in patients with colorectal carcinoma

目的:探讨结直肠癌营养不良风险的相关因素,分析营养风险筛查与术后并发症的关系。方法:95例结直肠癌患者术前依据营养风险筛查(NRS-2002)评分结果分为营养良好组及营养不良风险组,分析营养不良及与临床病理资料的关系。结果:40例(42.1%)属于营养不良风险组,营养不良风险与年龄、肠梗阻、患病时限、肿瘤分期以及肿瘤组织分级相关,P值均<0.05。术前未能行营养支持的营养不良风险患者术后并发症明显多于营养良好组(P<0.05),围手术期予以20～25kcal/kg(1kcal=4.186 8kJ)的营养支持可显著降低术后并发症发生率,P<0.05。结论:结直肠癌患者术前并发营养不良的风险较高,围手术期给予营养支持可有效减少术后并发症。

OBJECTIVE： To investigate the factors of nutritional risk and its affection to postoperative outcomes in patients with colorectal carcinoma. METHODS： According to the Nutritional Risk Screening 2002 （NRS-2002） the clinic and pathologic data of 95 cases with colorectal malignant lesions were analyzed retrospectively. RESULTS： According to NRS-2OO2,there were 40 cases （42. 1%） who were grouped as nutrition risk team. The factors presented relationship with nutrition risk were as follows： age, bowel obstruction, length with disease, stage of tumor, and differentiated class （P〈0.05）. The incidence of postoperative complication was higher in nutritional risk team than that in good nutrition team （P〈0.05）. Poor perioperative nutritional support of 20-25 kcal/kg （1 kcal=4. 186 8 kJ） and significant body weight reduce increased the incidence of the complications （P〈0.05）. CONCLUSION： The incidence of malnutrition risk is higher in cases with colorectal carcinoma,and perioperative nutritional support may reduce postoperative complication.