营养风险筛查2002、营养不良通用筛查工具和患者主观整体评估在住院肿瘤患者中应用和比较

发布时间：2018-01-11 08:00

本文关键词：营养风险筛查2002、营养不良通用筛查工具和患者主观整体评估在住院肿瘤患者中应用和比较　出处：《营养学报》2017年03期 　论文类型：期刊论文

【摘要】：目的明确营养风险筛查2002(nutritional risk screening 2002,NRS2002)、营养不良通用筛查工具(malnutrition universal screening tool,MUST)和患者主观整体评估(patient-generated subjective globe assessment,PG-SGA)对住院肿瘤患者进行营养风险筛查与评估的适用性。方法对208例住院肿瘤患者进行营养风险筛查与评估,χ~2检验比较三种营养筛查与评估工具结果差异,用灵敏度、特异度、约登指数及Kappa值分析比较3种营养筛查与评估工具的评定效果。结果以BMI为标准,肿瘤患者营养不良比例为14%,营养过剩比例高达41.3%;以体质指数(BMI)和血清白蛋白(ALB)为标准,营养不良检出率为16.8%,NRS2002、MUST、PG-SGA3种工具营养不良的风险检出率分别为26.0%、25.4%、39.4%;以BMI和ALB为标准,其中MUST筛查工具的灵敏度、特异度、约登指数及Kappa值最高。结论三种营养筛查与评估工具均适用于住院肿瘤患者;从营养不良的风险检出率来看,患者主观全面评定法更有优势;从营养风险筛查能力看,MUST更有优势。
[Abstract]:Objective to identify the nutritional risk screening (NRS 2002) for nutritional risk screening 2002. Malnutrition universal screening tool. MUST) and patient-generated subjective globe assessment. The applicability of PG-SGA to nutritional risk screening and assessment of tumor inpatients. Methods 208 inpatients with tumor were screened and evaluated for nutritional risk. 蠂 ~ 2 test was used to compare the results of the three nutritional screening and evaluation tools with sensitivity and specificity. The evaluation effects of three nutritional screening and evaluation tools were analyzed and compared with Kappa. Results according to the criteria of BMI, the rate of malnutrition in tumor patients was 14%. The proportion of excess nutrition is as high as 41.3%; According to BMI and ALB), the prevalence rate of malnutrition was 16.8% (NRS2002MUST). The risk rate of malnutrition in PG-SGA3 was 26.0 / 25.4and 39.4 respectively. BMI and ALB were used as the criteria, among which the sensitivity, specificity, Yorden index and Kappa value of MUST screening tools were the highest. Conclusion the three nutritional screening and evaluation tools are suitable for hospitalized tumor patients. According to the risk detection rate of malnutrition, the subjective comprehensive assessment method has more advantages. From the nutritional risk screening ability, MUST has more advantages.
【作者单位】：首都医科大学附属北京世纪坛医院营养科;首都医科大学附属北京世纪坛医院放疗科;
【分类号】：R459.3;R730.5
【正文快照】： 营养不良是肿瘤患者常见营养问题,有研究显示肿瘤患者发生营养不良的比例32%~88%[1]。放、化疗是治疗肿瘤的有效手段之一,但在杀伤肿瘤细胞的同时,对正常组织也有不同程度的损伤,肿瘤患者可能会出现全身和局部的毒副反应,表现为放射反应造成局部粘膜损伤、化疗造成的胃肠道反

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