PG-SGA评分对结肠癌患者根治术后并发症的预测价值

Predictive value of PG-SGA score for postoperative complications in patients with colon cancer

目的探究PG-SGA评分对结肠癌患者根治术后并发症的预测价值。方法回顾分析2014年6月至2018年12月接受手术治疗的200例结肠癌患者临床资料,采用PG-SGA评分对所有患者进行术前营养状况评价,按照有无营养风险分为营养正常组(PG-SGA评分≥4,112例)和营养不良组(PG-SGA评分<4,88例),采用SPSS19.0软件对数据进行统计学分析。围手术期各项指标等计量资料行(x^-±s)表示,组间行独立t检验,术后并发症行χ^2检验或Fisher确切概率法,P<0.05时差异具有统计学意义。结果两组患者在性别、年龄、病变部位、ASA评分、分化程度、TNM分期、肿瘤大小和病理类型方面差异无统计学意义(P>0.05);营养正常组患者住院时间和住院费用明显少于于营养不良组(P<0.05);术后并发症发生率为8.0%明显低于营养不良组32.9%,差异具有统计学意义(χ^2=6.98,P<0.05)。结论 PG-SGA评分<4的结肠癌患者术后并发症的发生率较高,值得临床重视。

Objective To explore the value of PG-SGA score in predicting postoperative complications in patients with colon cancer. Methods The clinical data of 200 patients with colon cancer underwent surgical treatment from June 2014 to December 2018 were retrospectively analyzed. The preoperative nutritional status of all patients were evaluated with PG-SGA score. According to the nutritional risk, they were divided into normal nutrition group(PG-SGA score ≥ 4, 112 cases) and malnutrition group(PG-SGA score < 4, 88 cases). Statistical analysis were performed by using SPSS 19.0 software. Measurement data, such as perioperative indicators were expressed as (x^-±s), and were examined by using independent t test. Count data such as incidence of postoperative complication rate and general data were examined by chi square test or Fisher exact probability method. A P value <0.05 was considered as statistically significant difference. Results There was no significant difference between the two groups in terms of sex, age, lesion location, ASA score, differentiation, TNM stage, tumor size and pathological type(P>0.05). The duration of hospitalization and the cost of hospitalization of the patients in the normal nutrition group were significantly less than those in the malnutrition group respectively(P<0.05). The incidence of postoperative complications in the normal group was significantly lower than that in the malnutrition group(8.04% vs 32.95%, P<0.05). Conclusion The risk factors of postoperative complications in colon cancer patients with PG-SGA score < 4 are high, which deserves clinical attention.