术前营养风险筛查在胃癌手术中的应用研究-现代医学

术前营养风险筛查在胃癌手术中的应用研究

单位：河北北方学院附属第一医院普通外科, 河北张家口 075000

分类号：R735.2;R459.3

出版年·卷·期（页码）：2017·36·第十一期（1554-1557）

摘要：

目的：探讨术前营养风险筛查在胃癌手术中的应用研究。方法：选取本院普通外科拟行胃癌根治术的105例胃癌患者，采用营养风险筛查2002（NRS 2002）进行术前营养评估，将患者分为伴营养风险组（观察组）和营养正常组（对照组），比较两组患者术后并发症发生情况。结果：根据NRS 2002评分筛查，观察组患者术后并发症为8例（18.60%），对照组术后并发症为5例（8.06%），差异有统计学意义（P<0.001）。对照组中未行营养支持的患者术后并发症为3例（8.33%），观察组中未行营养支持的患者术后并发症为5例（35.71%），差异有统计学意义（P<0.001）；观察组中行营养支持的患者与未行营养支持的患者相比，术后并发症发生率低（10.34% vs 35.71 %，P<0.001）；术后并发症采用Logistic多因素风险回归分析显示，NRS 2002评分是胃癌术后并发症的独立危险因素（P<0.001）。结论：术前营养风险筛查能有效预测胃癌手术后并发症的发生率，并指导围手术期营养支持。

Objective:To discuss the application on of nutritional screening for patients with gastric cancer. Methods:Data of 105 patients with gastric cancer in the Department of General Surgery from the First Affiliated Hospital of Hebei North University were selected and divided into nutrition risk group (observation group) and non-nutrition risk group (control group) by Nutrition Risk Screening 2002 (NRS 2002) Evaluation. Postoperative complication rates were compared among different preoperative nutritional status. Results:According to NRS 2002, the postoperative complication in the observation group was 8 (18.60%), the postoperative complication in the control group was 5 (8.06%), there was a statistical differences(P<0.001); The postoperative complication with non-nutrition support in control group was 3 (8.33%), the postoperative complication with non-nutrition support in observation group was 5 (35.71%), therefore there was a statistical differences(P<0.001); The postoperative complication with nutrition support in observation group was 5 (35.71%),and there was a statistical differences(P<0.001); The postoperative complication with nutrition supportwas higher than that without in the observation group, and there was a statistical differences, 10.34% vs 35.71%(P<0.001). The Logistic regression analysis showed that NRS 2002 screening was independent risk factors(P<0.001).Conclusion:Preoperative nutrition assessment of patients with gastric cancer may predict postoperative complications and provide guidance for perioperative nutrition support.

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