肿瘤患者营养状况及对临床结局的影响

何芳; 王蕾蕾; 孟雪杉; 吴悦; 叶丽佳; 张片红

doi:10.16689/j.cnki.cn11-9349/r.2016.03.010

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肿瘤代谢与营养电子杂志 ›› 2016, Vol. 3 ›› Issue (3) : 166-169. DOI: 10.16689/j.cnki.cn11-9349/r.2016.03.010

论著

肿瘤患者营养状况及对临床结局的影响

作者信息 +

Nutritional status of patients with tumor and its effect on clinical outcomes

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文章历史 +

摘要

目的了解肿瘤患者的营养状况，评估营养不良对患者临床结局的影响，为患者的营养治疗提供科学依据。方法
收集 2014 年 6 月至 2014 年 8 月，浙江省 12 家医院的肿瘤患者，采用营养风险筛查 2002（NRS 2002）和 2015 年 ESPEN
提出的营养不良诊断标准评估肿瘤患者营养风险和营养不良的发生率，并记录患者实验室检查及营养治疗状况。结果收集
肿瘤患者 802 例，肿瘤患者营养风险发生率为 31.80%，营养不良发生率为 17.70%，其中消化系统肿瘤患者营养风险和营
养不良的发生率均高于非消化系统肿瘤患者；消化系统肿瘤患者体重、 BMI 及小腿围显著低于非消化系统肿瘤患者（P
＜ 0.05）；肿瘤患者中 NRS 2002 ≥ 3 分的患者营养治疗率为 28.24%， NRS 2002 ＜ 3 分的患者营养治疗率为 6.40%，差
异有统计学意义（χ2=71.809， P ＜ 0.01）；营养不良患者营养治疗率为 26.06%，营养状况良好患者营养治疗率为 10.61%，
差异有显著性（χ2=28.235， P ＜ 0.01）；有营养风险的肿瘤患者 ICU 住院时间、住院时间与住院费用均高于无营养风险的
患者（P ＜ 0.01）；营养不良的患者总住院时间高于营养良好的患者（t=2.984， P ＜ 0.01）， ICU 住院时间和住院费用两
组之间无统计学差异。

Abstract

Abstract: Objective The aim of this study was to understand the nutritional status in patients with tumor and evaluate the
impact of malnutrition on clinical outcomes, then provide scientific reference for nutritional support of patients. Methods 802
patients were admitted in the period of 2014.06 to 2014.08 in 12 hospitals in Zhejiang Province. The rate of nutritional risk and
malnutrition was evaluated with nutrition risk screening 2002 (NRS 2002) and 2015 ESPEN diagnostic criteria, biochemical
indexes and nutrition therapy were recorded. Results The incidence rate of nutrition risk was 31.8% and malnutrition was 17.7%
and gastrointestinal tumor was higher than others. Weight and BMI were significantly lower in gastrointestinal tumor patients
than in non-gastrointestinal tumor patients (P<0.05); The ratio of nutrition therapy in the group of NRS 2002≥3 was 28.24%, and
6.4% in NRS 2002<3 (χ2=71.809, P<0.01). Nutrition therapy with malnutrition was 26.06% and 10.61% in well-nourished patients
(χ2=28.235, P<0.01). Patients at nutritional risk according to NRS 2002 （score≥3）prolonged hospitalization days and costs (P<0.01).
It’s the same as malnutrition except costs. Patients with malnutrition had no difference in the length of ICU and hospitalization
costs.

导出引用

何芳;王蕾蕾;孟雪杉;吴悦;叶丽佳;张片红. 肿瘤患者营养状况及对临床结局的影响[J]. 肿瘤代谢与营养电子杂志. 2016, 3(3): 166-169 https://doi.org/10.16689/j.cnki.cn11-9349/r.2016.03.010

HE Fang;WANG Lei-lei;MENG Xue-shan;WU Yue;YE Li-jia;ZHANG Pian-hong. Nutritional status of patients with tumor and its effect on clinical outcomes[J]. Electronic Journal of Metabolism and Nutrition of Cancer. 2016, 3(3): 166-169 https://doi.org/10.16689/j.cnki.cn11-9349/r.2016.03.010