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[目的]调查内科肺癌患者营养风险、营养不良及营养支持应用情况,为患者合理应用营养支持提供参考依据。[方法]采用“营养风险筛查2002”方法,以及人体测量和生化指标检测,包括身高、体重、腰围、握力、血清白蛋白(Alb)、体质指数(BMI)、血红蛋白(Hb)等,调查北京大学肿瘤医院胸部肿瘤内科新入院肺癌患者的营养状况及营养支持情况。[结果]营养风险的发生率为15.59%,营养不足的发生率为8.60%,超重及肥胖发生率为46.77%,腹部肥胖的发生率为62.37%。有营养风险的患者营养支持率为0。[结论]肺癌患者中有部分患者存在营养风险,有营养风险患者存在营养支持不足,需开展大样本关于营养支持对化疗患者临床结局影响的研究,以提高临床医生对患者营养问题的重视程度。
[Objective] To investigate the nutrition risk, malnutrition and nutritional support in patients with medical lung cancer and provide references for rational use of nutritional support. [Methods] The “Nutrition Risk Screening 2002” method was used, as well as anthropometric and biochemical indexes including height, weight, waist circumference, grip strength, serum albumin (Alb), body mass index (BMI), hemoglobin To investigate the nutritional status and nutrition support of newly admitted lung cancer patients in Department of Thoracic Oncology, Peking University Cancer Hospital. [Results] The incidence of nutritional risk was 15.59%, the incidence of undernutrition was 8.60%, the incidence of overweight and obesity was 46.77%, and the incidence of abdominal obesity was 62.37%. Nutritional support was 0 for patients at nutritional risk. [Conclusion] Some patients with lung cancer have nutrition risk, and nutritional risk patients have insufficient nutritional support. Therefore, a large sample of studies on the effect of nutritional support on the clinical outcome of patients undergoing chemotherapy should be conducted in order to improve clinicians ’attention to patients’ nutritional problems.