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目的应用微型营养评定法(mini-nutritional assessment,MNA)调查和分析晚期肿瘤住院患者的营养状态,探讨其与传统营养评价方法的关系。方法应用MNA问卷调查、传统评定方法和实验室检查,对600例晚期肿瘤患者进行营养评价,比较MNA评分与传统的人体测量及实验室检查的相关性。结果根据MNA得分,晚期肿瘤患者中营养不良者247例(41.2%),营养不良危险者162例(27.0%),营养良好者191例(31.8%);MNA评分与传统评价方法测得的体质指数(BMI)、三头肌皮褶厚度(TSF)、上臂围(AC)、上臂肌围(AMC)、血红蛋白(Hb)、血浆清蛋白(ALB)和总淋巴细胞计数(TLC)之间相关系数在0.27￣0.63(P<0.05),有良好的相关性。结论晚期肿瘤住院患者中营养不良和营养不良危险的发生率高,应给予恰当的营养支持。MNA是一种简单、易行、无创、适合于晚期肿瘤患者的营养评价方法。
Objective To investigate and analyze the nutritional status of patients with advanced oncology in hospital by mini-nutritional assessment (MNA) and to explore their relationship with traditional nutrition evaluation methods. Methods The MNA questionnaire, traditional assessment methods and laboratory tests were used to evaluate the nutritional status of 600 patients with advanced cancer. The correlation between MNA score and traditional anthropometric and laboratory tests was compared. Results According to the MNA score, 247 (41.2%) malnourished patients with advanced cancer, 162 (27.0%) with malnutrition, and 191 (31.8%) with malnutrition were rated as malnutrition. The scores of MNA and traditional methods The correlation between BMI, TSF, AM, AMC, Hb, ALB, and total lymphocyte count (TLC) The coefficients range from 0.27 to 0.63 (P <0.05), with good correlation. Conclusions The incidence of malnutrition and malnutrition in hospitalized patients with advanced cancer is high, and appropriate nutritional support should be given. MNA is a simple, easy, non-invasive, suitable for advanced cancer patients nutrition evaluation method.