NRS-2002评估473例首诊恶性肿瘤患者营养状况

Assessment the primary survey cancer patient′s nutritional status by NRS-2000

目的运用欧洲营养不良风险筛查2002(NRS-2002)方法前瞻性评估首诊恶性肿瘤患者的营养状况,了解不同类型肿瘤营养不良的发生情况。方法采用NRS-2002方法,对该院首诊收治的食道癌、胃癌、肝癌、肺癌、乳腺癌等常见恶性肿瘤473例患者的营养风险进行评分。结果 473例患者中有240例患者营养不良(50.74%)。其中,营养不良发生率最高为肝癌患者(75.31%),其次为食管癌(69.66%)、胃癌(63.81%),肺癌(45%),乳腺癌患者的营养不良率最低(5.08%);营养不良与年龄呈正相关。结论不同类型的恶性肿瘤对宿主造成的代谢改变以及不良反应等因素易致患者营养不良,临床应重视首诊恶性肿瘤患者营养状况的筛选、评价和早期营养干预。

Objective Using the method of the European malnutrition risk screening NRS-2002 to prospective assess the primary survey nutritional status of the patients with cancer,and to understand the different types of cancer malnutrition.Methods Using the NRS-2002 to score the nutrition risk of 473 patients who has undergone primary survey of the esophagus cancer,gastric cancer,liver cancer,lung cancer,breast cancer and the other common cancer in our hospital.Results There were 240 cases of malnutrition,accounted for 50.74% in the all 473 patients;and the highest rates of malnutrition occur in liver cancer patients（75.31%）,followed by esophageal（69.66%）,stomach（63.81%）,lung cancer was 45%,and the lowest rate of malnutrition occur in the breast cancer（5.08%）;the malnutrition and age were positively correlated.Conclusion The metabolic changes and adverse reactions caused by different kinds of malignant cancer would lead to malnutrition.More attention should be paid to the nutritional status selection,evaluation and early intervention nutrition of cancer patients who have undergone primary survey.