营养风险评估(NRS 2002)对食管癌手术后并发症的预测价值

Predictive value of nutritional risk assessment with nutritional risk screening 2002 for postoperative complications of esophageal cancer

目的探讨营养风险筛查(NRS 2002)对食管癌手术后并发症发生率的预测价值。方法回顾性分析2011年6月至2015年10月郑州大学附属肿瘤医院胸外科行食管癌根治术的326例食管癌患者,运用欧洲NRS 2002评分进行术前营养评估,对比存在营养风险的患者和无营养风险的患者术后并发症发生率。结果按照NRS 2002评分,术前有营养风险组和无营养风险组术后并发症发生率分别为42.3%(64/151)和26.3%(46/175),差异有统计学意义(P=0.002)。经Logistic多因素回归分析证实,NRS 2002评分是食管癌手术后并发症的独立危险因素(P=0.000,OR=65.106,95%CI:7.298~580.838)。结论 NRS 2002评分作为一种术前营养风险筛查方法,可用来预测食管癌手术后并发症的发生率。

Objective To explore the nutritional assessment with nutritional risk screening 2002 for postoperative complications of esophageal cancer. Methods Data of 326 esophageal cancer patients in the Affiliated Cancer Hospital of Zhengzhou University from June of 2011 to October of 2015 were collected retrospectively. Preoperative nutritional status was evaluated using NRS 2002. Postoperative complication rates were compared among different preoperative nutritional status. Results On the basis of NRS 2002,the morbidities of patients with and without malnutrition risk were 42. 3%( 64 /151) and 26. 3%( 46 /175) respectively( P = 0. 002). NRS 2002 was a significant predictor of postoperative complications( P = 0. 000,OR = 65. 106,95%CI: 7. 298 ~ 580. 838) on the basis of multivariable logistic regression analysis. Conclusion As a nutritional evaluation tool,NRS 2002 may predict postoperative complications for esophageal cancer patients.