论文部分内容阅读
目的分析胃肠道肿瘤患者手术前的营养风险率,以及营养风险对临床结局的影响。方法选择2010年1月至2012年3月在我院就诊的胃肠道肿瘤患者120例为研究对象,采用营养风险筛查2002(NRS 2002)对胃肠道肿瘤患者的术前营养风险率进行评估。结果术后NRS 2002评分≥3分患者较术前明显增多(P<0.05);NRS 2002评分≥3分患者并发症发生率明显高于NRS2002评分<3分患者(P<0.05);NRS 2002评分<3分患者的住院时间及住院费用明显低于NRS 2002评分≥3分的患者(P均<0.01)。结论手术能增加胃肠道肿瘤患者营养风险的发生率,且术前存在营养风险能使患者术后并发症发生明显增多、住院时间明显延长、住院费用明显增加,因此对胃肠道肿瘤患者进行术前风险评估是必要的。
Objective To analyze the nutrition risk before operation of patients with gastrointestinal cancer and the impact of nutrition risk on the clinical outcome. Methods One hundred and twenty patients with gastrointestinal cancer treated in our hospital from January 2010 to March 2012 were enrolled in this study. Nutritional risk screening 2002 (NRS 2002) was used to assess the preoperative nutrition risk of patients with gastrointestinal cancer Evaluation. Results The postoperative NRS 2002 score≥3 was significantly higher than that before operation (P <0.05). The complication rate of patients with NRS 2002 score≥3 was significantly higher than that of patients with NRS 2002 score <3 (P <0.05). The NRS 2002 score The hospital stay and hospitalization costs were significantly lower than those with NRS 2002 score> 3 (P <0.01). Conclusion Surgery can increase the incidence of nutritional risk in patients with gastrointestinal cancer. Preoperative nutrition risk can significantly increase the postoperative complications, prolong the hospitalization time and significantly increase the cost of hospitalization. Therefore, patients with gastrointestinal cancer should be treated Preoperative risk assessment is necessary.