新疆某三甲医院肝癌住院患者的营养风险状况调查

Epidemiological investigation of nutritional risk in hepatocellular carcinoma in one hospital in Xinjiang area

目的掌握新疆某三甲医院肝癌住院患者的营养风险状况。方法选择2010年1-12月在新疆医科大学第一附属医院符合入选标准的286例肝癌患者,入院次日清晨采用营养风险筛查量表(NRS2002)进行营养风险状况调查。结果 286例肝癌患者有营养风险的发生率为60.84%(174/286),无营养风险发生率为39.16%(112/286)。营养风险与肿瘤分期无明显相关性(χ2=5.271,P=0.153)。有营养风险患者的住院天数和住院费用高于无营养风险患者。肝癌总体病死率为62.23%(178/286),有营养风险患者的病死率(68.02%)显著高于无营养风险患者病死率(53.57%)(χ2=5.883,P<0.05)。中位随访时间31个月,失访9例,随访率为96.85%。生存99例,死亡178例。结论肝癌患者中营养风险的发生率较高。

Objective To investigate the nutritional status of patients with hepatocellular carcinoma in one hospital in Xinjiang area,Methods 286 patients who met the inclusion criteria in the hospital were selected and we investigated their nutritional status by using NRS2002 scale the next morning after their admission to the hospital.Results 286 cases of liver cancer patients completed the survey.The overall prevalence of nutritional risk was 60.84%（174/286）,no nutritional risk was 39.16%（112/286）,the nutritional risk and tumor stage had no significant correlation （χ2 = 5.271,P =0.153〉0.05）,The length of hospital stay,hospital costs and mortality were higher in the nutritional risk group compared with no nu-tritional risk group.Conclusion The risk of Nutrition is high in hepatocellular carcinoma patients.