患者主观全面评定法在非手术恶性肿瘤住院患者营养状况调查中的运用

发布时间：2018-10-23 15:49

【摘要】：目的运用患者主观全面评定法(PG-SGA)对非手术恶性肿瘤住院患者进行营养状况调查,探讨非手术肿瘤患者营养不良的发生情况,为指导临床营养干预提供依据。方法选取2014年8~10月在重庆市肿瘤医院放疗科、肿瘤内科、中医肿瘤科和血液肿瘤科48h内新入院的肿瘤患者,运用PG-SGA进行营养评估,用SPSS13.0软件进行统计分析。结果共计纳入901例年龄18~90岁的非手术恶性肿瘤患者,营养不良的发生率为79.9%;年龄越大营养不良发生率越高,差异有统计学意义(P0.05);营养良好组的体质量指数(BMI)显著高于营养不良组(P0.05),消化道恶性肿瘤患者重度营养不良发生率最高,各癌种间营养状况差异有统计学意义(P0.05)。结论肿瘤患者营养不良发生较普遍,PG-SGA营养状况评估用于非手术恶性肿瘤患者,有利于营养不良的早期发现和早期干预。
[Abstract]:Objective to investigate the nutritional status of inpatients with non-operative malignant tumor by means of subjective comprehensive evaluation (PG-SGA), and to explore the incidence of malnutrition in non-operative cancer patients, and to provide evidence for guiding clinical nutrition intervention. Methods from August to October, 2014, the patients who were admitted to the department of radiotherapy, department of oncology, department of traditional Chinese medicine and department of blood oncology in Chongqing Cancer Hospital were evaluated with PG-SGA and analyzed statistically by SPSS13.0 software. Results A total of 901 non-operative malignant tumor patients aged 1890 years were included. The incidence of malnutrition was 79.9%, and the incidence of malnutrition increased with age. The difference was statistically significant (P0.05); the body mass index (BMI) of good nutrition group was significantly higher than that of malnutrition group (P0.05). The incidence of severe malnutrition in patients with gastrointestinal cancer was the highest, and the difference of nutritional status among cancer species was statistically significant (P0.05). Conclusion malnutrition is common in tumor patients. PG-SGA nutritional status assessment is beneficial to early detection and intervention of malnutrition in patients with non-operative malignant tumors.
【作者单位】：重庆市肿瘤医院/研究所/癌症中心营养科;
【分类号】：R459.3;R730.5

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