基于PG-SGA的营养干预在胃恶性肿瘤患者中的评价及效果

Evaluation and application effect of nutritional intervention in patients with gastric cancer based on PG-SGA

目的基于PG-SGA评定量表的营养干预在胃部肿瘤患者中的评价及应用效果。方法选取江苏省苏北人民医院2016年10月至2018年10月收治的胃部恶性肿瘤患者125例,采用PG-SGA对患者进行营养评估,分析不同年龄、性别、BMI的患者PG-SGA评分结果。采取随机数字表法进行单纯随机分组,将评定量表中PG-SGA≥4分患者随机分为营养干预组和对照组,营养干预组患者予以营养宣教+营养干预,对照组给予营养宣教。分别比较两组患者第1~3周的日摄入能量、蛋白质水平,以及3周后体重变化等营养指标。结果两组不同年龄、性别患者PG-SGA评分比较,差异无统计学意义(P>0.05),不同BMI患者PG-SGA评分在4~8分及≥9分范围内比较,差异有统计学意义(P<0.05),营养干预组患者第1~3周的日摄入能量、蛋白质高于对照组患者,3周后对照组体重变化(丢失)高于干预组,干预组白蛋白、总蛋白、血红蛋白等水平高于对照组,红细胞计数高于对照组,差异均具统计学意义(P<0.05)。结论PG-SGA可以较好地反映胃恶性肿瘤患者的营养状况,营养干预治疗可以改善胃部恶性肿瘤患者的营养状况。

ObjectiveTo evaluate the effect of nutritional intervention on gastric cancer patients based on PG-SGA rating scale.MethodsA total of 125 patients with gastric cancer were admitted to Subei People\s Hospital of Jiangsu province were selected from October 2016 to October 2018.PG-SGA was used for nutritional assessment,and PG-SGA scores of patients with different ages,genders and body mass index were analyzed.Patients of grade B(4-8 scores)and grade C in the rating scale were randomly divided into the nutritional intervention group or the control group by simple random grouping.Patients in the nutritional intervention group were given nutritional education+nutritional intervention,while patients in the control group were given only nutritional education.The energy intake,protein level in the body and red blood cell count and other nutritional indexes of the patients in the two groups were compared on the first and third week after admission.ResultsPG-SGA scores of patients with different ages and genders were compared between the two groups,and the differences were not statistically significant(P>0.05).When comparing the BMIs and PG-SGA scores,significant differences were found in patients with 4-8 scores or≥9 scores(P<0.05).The daily energy and protein intake in the nutritional intervention group was higher than that in the control group from week 1-3.The weight change(loss)in the control group was higher than that in the intervention group at week 3.The levels of albumin,total protein and hemoglobin in the intervention group were higher than that in the control group.The red blood cell count was higher than that in the control group.All above differences were statistically significant(P<0.05).ConclusionPG-SGA assessment scale can reflect the nutritional status of patients with malignant tumor of the stomach,nutritional intervention can improve the nutritional status of patients with malignant tumor of the stomach.