肝癌患者临床营养评价方法及其进展

Clinically nutritional assessment methods for liver cancer patients and their development

目的总结肝癌患者的营养状况评估方法及其进展,为对肝癌患者进行合理地营养评价及有效营养支持提供参考。方法查阅国内外文献,整理归纳肝癌患者的营养状况评估方法及其进展,明确切实可行的营养评价方法。结果传统营养评价法中各单项指标的评价效度较低,需将各项指标综合后用于评估;主观全面评价法(subjective global assessment,SGA)、微型营养评价法(mini nutritional assessment,MNA)及欧洲营养不良风险调查2002法(nutritional risk screening 2002,NRS-2002)的评价效度相当,较传统营养评价指标更适用于对肝癌患者的营养评价。结论临床应同时使用SGA、MNA、NRS-2002等多种综合营养评价方法,并结合相关的人体测量及实验室指标,以更准确地评判肝癌患者的营养状况。

Objective To summarize the nutritional assessment methods for liver cancer patients and their development, and to provide reference for rationally nutritional assessment and nutritional support. Method Domestic and foreign literatures were searched to summarize the nutritional assessment methods for liver cancer patients and their development, in order to determine a practical and feasible assessment method. Results The evaluation validity of traditionally nutritional assessment methods which contained many individual indicators was low. But subjective global assessment （SGA）, mini nutritional assessment （MNA）, and nutritional risk screening 2002 （NRS-2002） had similar evaluation validity, this 3 kinds of nutritional assessment methods were more suitable for liver cancer patients compared with the traditionally nutritional assessment methods. Conclusion The clinician should simultaneously apply SGA, MNA, NRS-2002, and other comprehensively nutritional assessment methods, as well as related anthropometric and laboratory indexes, to get a more accurate assessment of the nutritional status for patients with liver cancer.