Comprehensive evaluation of nutritional status before and after hematopoietic stem cell transplantat

来源 :Chinese Journal of Cancer Research | 被引量 : 0次 | 上传用户:akgmtgdt
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Objective: To investigate the nutritional status of patients before and after hematopoietic stem cell transplantation(HSCT), and explore optimal methods for assessing nutritional status in patients with hematological diseases.Methods: This cohort study enrolled 170 patients who were diagnosed with hematological diseases and underwent allogeneic HSCT in the Department of Hematology, Peking University People’s Hospital between May2011 and April 2013. We used fixed-point continuous sampling and four nutritional screening tools, Nutritional Risk Screening 2002(NRS-2002), Mini Nutritional Assessment(MNA), Subjective Global Assessment(SGA) and Malnutrition Universal Screening Tools(MUST), in combination with body measurements, to extensively screen and evaluate nutritional risks and status in patients receiving HSCT before entering and after leaving laminar air flow rooms.Results: After HSCT, patients had significant reduction in weight, hip circumference, waist-hip ratio, calf circumference, mid-upper arm circumference, and suprailiac skinfold thickness compared with pre-HSCT measurements. Before HSCT, NRS-2002 identified that 21.2% of patients were at nutritional risks, compared with100% after HSCT. MUST indicated that before HSCT, 11.77% of patients were at high nutritional risk,compared with 59.63% after HSCT. MNA assessed that 0.06% of patients were malnourished before HSCT,compared with 19.27% after HSCT. SGA identified that before HSCT, 1.76% of patients had mild to severe malnutrition, which increased to 83.3% after HSCT. There is a significant increase in the nutritional risk and malnutrition in patients who received HSCT.Conclusions: Before HSCT, some patients already had nutritional risk or nutritional deficiencies, and prompt and close nutritional screening or assessment should be performed. The nutritional status of patients after HSCT was generally deteriorated compared with that before transplantation. Body measurements should be taken more frequently during the subsequent treatment window in the laminar air flow rooms. After HSCT, it is recommended to combine MNA and SGA to fully evaluate the nutritional status, and thus provide timely and reasonable nutritional support. Objective: To investigate the nutritional status of patients before and after hematopoietic stem cell transplantation (HSCT), and explore optimal methods for assessing nutritional status in patients with hematological diseases. Methods: This cohort study enrolled 170 patients who were diagnosed with hematological diseases and underwent Allogeneic HSCT in the Department of Hematology, Peking University People’s Hospital between May 2011 and April 2013. We used fixed-point continuous sampling and four nutritional screening tools, Nutritional Risk Screening 2002 (NRS-2002), Mini Nutritional Assessment (MNA), Subjective Global Assessment (SGA) and Malnutrition Universal Screening Tools (MUST), in combination with body measurements, to extensively screen and evaluate nutritional risks and status in patients receiving HSCT before entering and after leaving laminar air flow rooms. Results: After HSCT, patients had significant reduction in weight, hip circumference, waist-hip ratio, calf circumference Before HSCT, NRS-2002 identified that 21.2% of patients were at nutritional risks, compared with 100% after HSCT. MUST indicated that before HSCT, 11.77% of patients were at high nutritional risk, compared with 59.63% after HSCT. MNA assessed that 0.06% of patients were malnourished before HSCT, compared with 19.27% ​​after HSCT. SGA identified that before HSCT, 1.76% of patients had mild to severe malnutrition, which increased to 83.3% after HSCT. There is a significant increase in the nutritional risk and malnutrition in patients who received HSCT.Conclusions: Before HSCT, some patients already had nutritional risk or nutritional deficiencies, and prompt and close nutritional screening or assessment should be performed The nutritional status of patients after HSCT was generally deteriorated compared with that before transplantation. Body measurements should be taken more frequently during the subsequent treatment window in the laminar air flow rooms. After HSCT, it is recommended to combine MNA and SGA to fully evaluate the nutritional status, and thus provide timely and reasonable nutritional support.
其他文献
目的 针对电磁式冲击波结合DMS对脑卒中患者小腿三头肌痉挛治疗效果进行分析,并探讨其作用机制.方法 选取60例本院收治的缺血性脑卒中患者为研究对象,随机将患者分为采用基础
【摘要】疼痛护理是外科手术后最重要的内容之一,通过术前巡访,术后护理及护理对策等手段,做好手术后患者疼痛的心身护理,减少并发症、促进患者康复、提高治愈率具有重要意义。  【关键词】手术;疼痛、疼痛原因及不良影响;术前巡访,术后护理  doi:10.3969/j.issn.1004-7484(s).2014.01.361文章编号:1004-7484(2014)-01-0306-02  疼痛护理是临床
期刊
目的探讨新生儿高胆红素血症换血治疗时库存血G6PD活性降低对治疗效果的影响。方法根据换入的库存血的G6PD活性检测结果将56例接受换血治疗的高胆红素血症新生儿分为两组:库存
多发性硬化(multiple sclerosis,MS)是一种好发于中青年的中枢神经系统炎性脱髓鞘疾病,以时间和空间多发为特征,可出现感觉、运动、视觉、认知、括约肌功能等多种功能障碍,是
期刊
目的 研究CBL结合MDT教学模式在中医院校本科毕业临床实践教学中应用的效果.方法 随机选择在我科进行毕业实习的中医学专业、中西医临床医学专业的学生共68名,均分为实验组和
【摘要】目的本研究主要就年轻护士的特点展开分析讨论,并根据分析的结果来对其进行适当的管理。方法选择我院2012年6月——2013年10月所任职的16名80后年轻护理人员作为研究对象,采用质性研究现象学的方法来对本研究的这16名护理人员进行访谈,并对访谈的相关资料进行整理,并对整理的结果进行分析。结果年轻护理人员的自我意识相对较强,因此,在对其进行管理时,必须注重对其团队精神进行适当的培养,针对年轻
期刊
随着人口老龄化的不断加速,心脑血管疾病的发病率、致残率以及死亡率也在逐年升高. 颅内血管动脉粥样硬化形成是心脑血管疾病的重要病理基础,脂质代谢紊乱是动脉粥样硬化形成
期刊
目的 对新生儿听力筛查结果和影响因素进行分析.方法 2017年05月01日——2019年2月28日在贵州省安顺市人民医院出生并接受听力筛查新生儿共3160例作为研究对象.结果 本研究对