营养风险筛查2002在晚期肿瘤患者营养状况筛查中的运用

Application of nutritional status screening in advanced cancer patients by nutrition risk screening 2002

目的运用营养风险筛查2002对我院晚期肿瘤住院患者进行营养评估调研,统计患者的营养不足率、营养风险发生率和营养支持情况,探讨不同癌种患者的营养状况及临床指标差异,为个体化营养支持提供科学依据。方法筛选符合要求的2016年1月—2017年2月入院的晚期肿瘤住院患者,进行营养问卷调查、人体测量、记录相关实验室检查指标,应用营养风险筛查2002(Nutritional risk screening,NRS2002)对患者进行营养风险筛查。结果 517例晚期肿瘤患者的营养不足率为19.54%,营养风险发生率为49.52%,无营养风险的患者接受营养支持的比例为14.56%,有营养风险的患者进行营养支持的比例为63.67%。有营养风险的患者平均住院时间为(14.43±11.82)天,无营养风险的患者为(8.29±6.93)天。消化道肿瘤患者的营养风险发生率高于其他癌种。结论 NRS2002作为有效的营养筛查工具,可协助临床医师筛查肿瘤科住院患者潜在的营养风险,为患者制定合理的营养支持提供依据。

Objective The objectives of this study were to use Nutrition Risk Screening 2002（ NRS2002） to conduct nutritional assessment research on patients with advanced cancer in our hospital,and to assess the patients＇ nutritional deficiencies,nutritional risk and nutritional support,and to discuss the nutritional status and clinical indicators of patients with different tumor types in order to provide a scientific evidence for individualized nutritional support. Methods Patients with advanced tumors met the requirements were enrolled from January 2016 to February 2017. Nutritional questionnaires and anthropometry were conducted and recorded the information of measurements and relevant laboratory tests. NRS2002 was used to screen nutritional risk of patients. Results The nutritional insufficiency rate was 19. 54% in 517 patients with advanced cancer and 49. 52% in nutrition risk. The proportion of nutrition-free patients receiving nutritional support was 14. 56%,and the nutritional support patients with nutritional support were 63.67%. The average length of hospital stay was（ 14. 43 ± 11. 82） days for patients with nutritional risk,and（ 8. 29 ± 6. 93） days for patients without nutritional risk. The incidence of nutritional risk in patients with digestive tract cancer was higher than other tumor types. Conclusion As an effective nutritional screening tool,NRS2002 can help clinicians to screen the potential nutritional risk of patients in oncology and provide the basis for patients to develop rational nutrition support.