营养风险筛查表联合白蛋白水平监测对肝癌患者手术前后营养状况的评估价值

Evaluation Value of Nutrition Risk Screening Scale combined with Albumin Level Monitoring for Nutritional Status of Patients with Liver Cancer before and after Surgery

目的:分析营养风险筛查表(NRS-2002)联合白蛋白(albumin,ALB)水平监测方式评估肝癌患者手术前后营养状况的价值。方法:选取我院收治的300例行手术治疗的肝癌患者,均于手术前后采用NRS-2002、监测血清ALB水平的方式评估其营养状况,观察NRS-2002联合ALB水平监测对患者手术前后的营养状况评估结果,比较术前、术后有营养风险检出率、有营养风险与无营养风险患者传统单项指标[体质量指数(BMI)、肱三头肌皮褶厚度(TSF)、上臂肌围(AMC)、淋巴细胞计数、血红蛋白(Hb)]。结果:术前有营养风险检出率76.00%,明显低于术后86.00%(P<0.05);术前与术后,NRS-2002联合ALB评估中有营养风险患者BMI、TSF、AMC、淋巴细胞计数及Hb水平均明显小于无营养风险患者(P<0.05)。结论:肝癌患者术后营养不良风险增加,NRS-2002联合ALB水平监测评估肝癌患者是否面临营养风险较为全面,且准确性高,具有重要应用价值。

Objective:To analyze the evaluation value of nutrition risk screening(NRS-2002)combined with albumin(ALB)level monitoring for nutritional status of liver cancer patients before and after surgery.Methods:A total of 300 patients with liver cancer who underwent surgery admitted to the hospital were enrolled.NRS-2002 and ALB level monitoring were performed to evaluate nutritional status of the patients before and after surgery.The evaluation results of NRS-2002 and NRS-2002 combined with ALB levels monitoring for nutritional status were observed.The detection rate of nutritional risk,traditional single indexes[body mass index(BMI),triceps skinfold thickness(TSF),arm muscle circumference(AMC),lymphocyte count,hemoglobin(Hb)]of patients with or without nutritional risk before and after surgery were compared.Results:The detection rate of nutritional risk before surgery was significantly lower than that after surgery(76.00%vs 86.00%)(P<0.05).Before and after surgery,BMI,TSF,AMC,lymphocyte count and Hb levels in patients with nutritional risk were significantly less than those in patients without nutritional risk evaluated by NRS-2002 combined with ALB(P<0.05).Conclusion:The risk of postoperative malnutrition in liver cancer patients is increased.NRS-2002 combined with ALB level monitoring is more comprehensive in evaluation of the presence or absence of nutritional risk in liver cancer patients,with high accuracy.The application value is important.