NRS2002与MNA-SF营养筛查工具在胰十二指肠切除术中的应用比较

发布时间：2018-06-16 02:49

本文选题：胰十二指肠切除术 + 营养风险筛查表2002　；参考：《新疆医科大学》2017年硕士论文

【摘要】：目的:研究NRS2002与MNA-SF营养筛查工具在胰十二指肠切除术术前营养风险评估价值。方法:对2011年6月至2016年6月新疆医科大学第一附属医院行胰十二指肠切除术患者应用NRS2002与MNA-SF营养筛查工具分别进行营养评分筛查,比较两者灵敏度、特异度、并发症发生率。对NRS2002与MNA-SF营养筛查结果并发症按分级Clavien-Dindo标准进行分析,研究每一分级中两种营养筛查方法所筛选出的结果的异同。结果:1.分别采用NRS2002与MNA-SF进行筛查方法进行评估,前者有营养风险者72例,营养风险的发生率为67.3%。后者有营养风险者56例,营养风险发生率为52.3%。2.在107例病例中综合灵敏度、特异度、Youden指数和Kappa值等各项评价指标后,以是否发生术后并发症为参照标准,NRS2002与MNA-SF的灵敏度分别为79.6%、68.5%,特异度分别为45.3%、64.2%,Youden指数分别为0.250、0.327,Kappa值分别为0.260、0.485。MNA-SF筛查方法特异度更高,在与术后并发症发生的一致性方面NRS2002低于MNA-SF(KNRS2002=0.260,KMNA-SF=0.485)。3.根据NRS2002评估以及MNA-SF评估方法的筛查结果,与术后并发症Clavien-Dindo分级的关系,可以看出两种营养评估方法均可以有效预测胰十二指肠术患者术后并发症,但根据Clavien-Dindo分级标准,NRS2002营养评估方法可筛查出更多II级及以上并发症。结论:NRS2002与MNA-SF在对行PD手术患者术前评估方面皆有积极意义。但于MNA-SF相比,NRS2002筛查方法可发现较多具有营养风险患者值得推广与进一步研究。
[Abstract]:Objective: to evaluate the value of NRS2002 and MNA-SF nutritional screening tools in evaluating nutritional risk before pancreatoduodenectomy. Methods: the patients undergoing pancreaticoduodenectomy in the first affiliated Hospital of Xinjiang Medical University from June 2011 to June 2016 were screened with NRS2002 and MNA-SF nutritional screening tools respectively. The sensitivity specificity and incidence of complications were compared between NRS2002 and MNA-SF. The complications of NRS2002 and MNA-SF nutrition screening results were analyzed according to the Clavien-Dindo standard, and the differences and similarities between the two nutritional screening methods were studied. The result is 1: 1. NRS2002 and MNA-SF were used to evaluate 72 cases with nutritional risk, and the incidence of nutritional risk was 67.3%. The latter had nutritional risk in 56 cases, and the incidence of nutritional risk was 52.3. 2. The sensitivity, specificity, Youden index and Kappa value were measured in 107 cases. The sensitivity and specificity of NRS2002 and MNA-SF were 79.6 and 45.3and 64.2respectively, respectively. The Youden index was 0.250 0.327m Kappa, respectively. The specificity of NRS2002 and MNA-SF was higher than that of MNA-SF. The specificity of NRS2002 was lower than that of MNA-SFNR2002 0.260mNA-SFU 0.485.3The specificity of NRS2002 and MNA-SF was higher than that of MNA-SF, and the specificity of NRS2002 and MNA-SF was higher than that of MNA-SFNRS2002.The specificity of NRS2002 and MNA-SF was higher than that of NRS2002 and MNA-SF, respectively. The specificity of NRS2002 and MNA-SF were higher than that of MNA-SF. According to the screening results of NRS2002 and MNA-SF, and the relationship between these two methods and Clavien-Dindo grade of postoperative complications, it can be seen that both methods can effectively predict postoperative complications in patients undergoing pancreaticoduodenectomy. However, according to Clavien-Dindo grading criteria, NRS2002 nutrition assessment method can be used to screen more level II and above complications. ConclusionTwo-two NRS2002 and MNA-SF have positive significance in preoperative evaluation of PD patients. But compared with MNA-SF, NRS2002 screening method can find that more patients with nutritional risk are worth popularizing and further research.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R657.5

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