膀胱癌根治性切除并回肠尿流改道住院患者营养风险筛查

Nutritional Risk Screening for Hospitalized Patients in Bladder Cancer Radical Cystectomy with Urinary Diversion Endorsed

目的筛查膀胱癌根治性切除并回肠尿流改道患者营养风险发生情况,为临床营养支持治疗提供参考。方法选取我院泌尿外科2020年1月至2021年6月住院的334例膀胱癌根治性切除并回肠尿流改道患者,采用欧洲肠外肠内营养学会推荐的营养风险筛查简表(NRS2002)进行营养风险筛查,根据2016年世界卫生组织泌尿系统及男性生殖器官肿瘤分类(WHO 2016)及膀胱尿路上皮癌恶性程度分级系法(WHO 2004)对病例进行分组整理,并按性别、年龄、膀胱癌病理分级、膀胱癌病理分型进行分组分析,比较各组营养风险发生情况。结果334例患者均完成营养风险筛查,136例(40.7%)存在营养风险;不同性别患者营养风险差异无统计学意义(P=0.842);年龄≥70岁患者较<70岁的患者存在营养风险的比例更高,并且年龄越大,存在营养风险的比例越高(P<0.001);不同的膀胱癌病理分级患者营养风险发生情况差异无统计学意义(P=0.058);不同的膀胱癌病理分型患者营养风险发生情况差异无统计学意义(P=0.218)。结论膀胱癌根治性切除并回肠尿流改道患者住院患者存在较高的营养风险,年龄≥70岁患者较<70岁的患者存在营养风险的比例更高,并且年龄越大,存在营养风险的比例越高,临床应充分重视给予营养支持。

Objective To screen the nutritional risk of patients in bladder cancer radical cystectomy with urinary diversion endorsed,and to provide reference for clinical nutritional support.Methods 334 patients in bladder cancer radical cystectomy with urinary diversion endorsed,from January 2020 to June 2021 in our department of urology were selected for nutritional risk screening according to NRS2002.Patients were divided into two groups according to gender,age,pathological grading of bladder cancer(WHO 2004)and pathological type of bladder cancer(WHO 2016).Results 334 patients completed NRS2002 screening,and 136 cases(40.7%)had nutritional risk;There was no significant difference in nutritional risk between patients of different genders(P=0.842);Patients aged≥70 years had a higher proportion of nutritional risk than patients aged<70 years,the older the age,the higher the proportion of nutritional risk(P<0.001);There was no significant difference in nutritional risk between different pathological grades of bladder cancer(P=0.058);There was no significant difference in nutritional risk between different pathological types of bladder cancer(P=0.218).Conclusion There is a higher nutritional risk in bladder cancer radical cystectomy with urinary diversion endorsed patients.Patients with age over 70 have a higher proportion of nutritional risk than those under 70.The older the age,the higher the proportion of nutritional risk.Clinical attention should be paid to nutrition support.