NRS2002与MUST结合评估辅助个体化营养支持对淋巴瘤化疗患者营养状态与并发症的影响

The Effects of NRS2002 Combined with MUST to Evaluate Supplementary Individualized Nutritional Support on Nutritional Status and Complications in Patients with Lymphoma Chemotherapy

目的:分析营养风险筛查2002(NRS2002)与肿瘤患者营养不良通用筛查工具(MUST)结合评估辅助个体化营养支持对淋巴瘤化疗患者营养状态与并发症的影响。方法:选取2022年1月—2023年9月厦门大学附属中山医院收治的60例淋巴瘤化疗患者作为研究对象,以随机数表法分为观察组和对照组,每组各30例。观察组采取NRS2002与MUST结合评估辅助个体化营养支持,对照组采取常规营养支持;比较两组干预后并发症发生率(消化不良、恶心呕吐、高热),分析两组干预前后NRS2002与MUST评分、营养状态[血清前白蛋白(ALB)、血红蛋白(Hb)和总蛋白(TP)]。结果:干预前,两组营养状态、NRS2002与MUST评分比较,差异无统计学意义(P>0.05);干预后,观察组上述指标高于对照组,差异有统计学意义(P<0.05)。干预后,观察组并发症发生率较对照组更低,差异有统计学意义(P<0.05)。结论:NRS2002与MUST结合评估辅助个体化营养支持可改善营养状态,降低NRS2002与MUST评分,预防营养风险,较常规管理方案更有助于降低并发症发生率,对促进身体康复有重要作用。

Objective:Analysis of Nutritional Risk Screening 2002(NRS2002)in conjunction with the Malnutrition Universal Screening Tool(MUST)in cancer patients to evaluate the effects of supplemental individualized nutritional support on nutritional status and complications in patients undergoing lymphoma chemotherapy.Method:Sixty patients with lymphoma chemotherapy admitted to the hospital from January 2022 to September 2023 were selected as study objects and randomly divided into an observation group and a control group using a digital table method,with 30 cases in each group.The observation group received NRS2002 combined with MUST to evaluate auxiliary individualized nutrition support,while the control group received conventional nutrition support.The incidence of complications(indigestion,nausea and vomiting and high fever)was compared after intervention between the two groups,and the NRS 2002 and MUST scores,nutritional status[serum prealbumin(ALB),hemoglobin(Hb)and total protein(TP)]were analyzed before and after intervention between the two groups.Result:Before intervention,there was no statistically mo significant difference between the two groups in nutritional status,NRS2022 and MUST score(P>0.05).After intervention,the above indexs in the observation group were higer than those in the control group(P<0.05).After the intervention,the complication rate of the observation group was lower than that of the control group,and the difference was statiscally significant(P<0.05).Conclusion:The combined evaluation of NRS2002 and MUST can improve nutritional status,reduce the score of NRS2002 and MUST,prevent nutritional risks,and help to reduce the incidence of complications after intervention compared with conventional management programs,which plays an important role in promoting physical rehabilitation and is worthy of popularization and application.