Preoperative Combinative Nutrition Assessment with Nutritional Risk Screening 2002 and Physiological-biochemical Indicators for Patients with Colorectal Cancer_West China Medical Journal

Authors：

CHEN Fengjiao ^1,2 , HUANG Mingjun ^1,2 , ZHANG Xiaoyan ^1,2 , LIU Hanxue ^1,2 , WANG Xiaodong ^2,3 ,  LI Ka ^2,3

1. West China Medical School; 2. MCQ Team of West China Hospital; 3. Gastrointestinal Surgery Center, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

LI Ka, Email: rainstar.2009@163.com

Keywords：

联合评估; 营养风险; 营养不良; 结直肠恶性肿瘤

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【摘要】　目的　探讨使用营养风险筛查（nutritional risk screening，NRS）2002与生理生化指标联合评估大肠癌患者术前营养及二者的定量关系。　方法　对2008年4月-2009年3月收治的367例大肠癌患者，用NRS 2002与生理生化指标分别评估其术前营养风险和营养状况，对其进行相关性分析。　结果　有28%的大肠癌患者术前即存在营养风险，各评价指标对营养不良状况的检出率存在差异（9.3%～31.6%），且NRS 2002营养风险评分与血红蛋白（r=-0.117，P=0.025）、血清前白蛋白（r=-0.205，P=0.046）、血清白蛋白（r=-0.175，P=00.001）、体量质指数（r=-0.231，P=0.000）均呈负相关。　结论　大肠癌患者术前即存在较高的营养风险和营养不良，且营养风险与术前营养状况有关。
【Abstract】　Objective　 To assess the preoperative nutritional risks and status of patients with colorectal cancer by nutritional risk screening 2002 (NRS 2002) combined with physiological-biochemical indicators, and explore their quantitative relationship.　Methods　 NRS 2002 combined with physiological-biochemical indicators were applied on the 367 patients with colorectal cancer in Gastrointestinal Surgery Center in West China Hospital between April 2008 and March 2009 to assess their nutritional risks and status, and correlation analysis was done to explore their quantitative relationship.　Results　 Among all the patients, 28% had preoperative nutritional risks. Different physiological-biochemical indicators detected different rates of malnutrition (9.3% to 31.6%), and there was a negative correlation between NRS 2002 and such physiological-biochemical indicators as hemoglobin (r=-0.117,P=0.025), pre-albumin (r=-0.205,P=0.046), albumin (r=-0.175,P=0.001), and body mass index (r=-0.231,P=0.000).　Conclusion　 Many colorectal cancer patients have preoperative nutritional risks and malnurtrion, and the nutritional risks are correlated with preoperative nutritional status.

Citation： CHEN Fengjiao,HUANG Mingjun,ZHANG Xiaoyan,LIU Hanxue,WANG Xiaodong,LI Ka. Preoperative Combinative Nutrition Assessment with Nutritional Risk Screening 2002 and Physiological-biochemical Indicators for Patients with Colorectal Cancer. West China Medical Journal, 2011, 26(10): 1533-1535. doi: Copy

1.	黄明君, 陈凤姣, 杨苹, 等. NRS 2002评估术前直肠癌患者营养状况和护理对策[J]. 护士进修杂志, 2009, 24(20): 1854-1855.
2.	Leuenberge M, Kurmann S, Stanga Z. Nutritional screening tools in daily clinical practice: the focus on cancer[J]. Support Care Cancer, 2010, 18(2): S17-S27.
3.	杨南竹, 曹丽萍. 结直肠癌患者术前营养风险筛查及术后复测[J]. 中国临床营养杂志, 2007, 15(5): 281-284.
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5.	揭彬, 蒋朱明, 朱赛楠, 等. 营养干预、营养风险对临床结局影响研究的方法学[J]. 中国临床营养杂志, 2008, 16(6): 367-370.
6.	梁晓坤, 揭彬, 蒋朱明. 营养风险理念解读[J]. 中国临床营养杂志, 2007, 15(3): 167-170.
7.	李洪清. 老年人结肠癌 11例临床分析[J]. 中国实用医药, 2008, 3(29): 126.
8.	龙辉, 王桂芳. 以贫血为主要表现的结肠癌104 例临床分析[J]. 西部医学, 2008, 20(6): 1196.
9.	林嫦梅, 路潜, 周玉洁. 用不同评价方法调查分析普外科患者术前营养状况[J]. 中国临床营养杂志,2008, 16(1): 12-17.
10.	朱步东, 薛德联, 任小琼. 恶性肿瘤病人营养不良评价方法的比较[J]. 中国临床营养杂志, 2001, 9(1): 56-57.
11.	罗茜, 曹伟新, 吴蓓雯. 不同营养评价方法对消化系恶性肿瘤病人营养状况评价的意义[J]. 外科理论与实践, 2010, 15(4): 393-397.
12.	朱州, 黄顺荣, 秦千子, 等. 胃肠癌住院手术患者的营养风险筛查分析[J]. 中国全科医学, 2010, 13(8): 2736-2737.
13.	陈淑红, 唐有为. 欧洲营养风险筛查方法在消化内科住院病人的应用[J]. 肠外与肠内营养, 2010, 17(4): 221-223.

1. 　黄明君, 陈凤姣, 杨苹, 等. NRS 2002评估术前直肠癌患者营养状况和护理对策[J]. 护士进修杂志, 2009, 24(20): 1854-1855.
2. 　Leuenberge M, Kurmann S, Stanga Z. Nutritional screening tools in daily clinical practice: the focus on cancer[J]. Support Care Cancer, 2010, 18(2): S17-S27.
3. 　杨南竹, 曹丽萍. 结直肠癌患者术前营养风险筛查及术后复测[J]. 中国临床营养杂志, 2007, 15(5): 281-284.
4. 　Lochs H, Allison SP, Meier R, et al. Introductory to the ESPEN guidelines in enternal nutrition:terminology, definitions and general topics[J]. Clin Nutr, 2006, 25(2): 180-186.
5. 　揭彬, 蒋朱明, 朱赛楠, 等. 营养干预、营养风险对临床结局影响研究的方法学[J]. 中国临床营养杂志, 2008, 16(6): 367-370.
6. 　梁晓坤, 揭彬, 蒋朱明. 营养风险理念解读[J]. 中国临床营养杂志, 2007, 15(3): 167-170.
7. 　李洪清. 老年人结肠癌 11例临床分析[J]. 中国实用医药, 2008, 3(29): 126.
8. 　龙辉, 王桂芳. 以贫血为主要表现的结肠癌104 例临床分析[J]. 西部医学, 2008, 20(6): 1196.
9. 　林嫦梅, 路潜, 周玉洁. 用不同评价方法调查分析普外科患者术前营养状况[J]. 中国临床营养杂志,2008, 16(1): 12-17.
10. 　朱步东, 薛德联, 任小琼. 恶性肿瘤病人营养不良评价方法的比较[J]. 中国临床营养杂志, 2001, 9(1): 56-57.
11. 　罗茜, 曹伟新, 吴蓓雯. 不同营养评价方法对消化系恶性肿瘤病人营养状况评价的意义[J]. 外科理论与实践, 2010, 15(4): 393-397.
12. 　朱州, 黄顺荣, 秦千子, 等. 胃肠癌住院手术患者的营养风险筛查分析[J]. 中国全科医学, 2010, 13(8): 2736-2737.
13. 　陈淑红, 唐有为. 欧洲营养风险筛查方法在消化内科住院病人的应用[J]. 肠外与肠内营养, 2010, 17(4): 221-223.

West China Medical Journal

Preoperative Combinative Nutrition Assessment with Nutritional Risk Screening 2002 and Physiological-biochemical Indicators for Patients with Colorectal Cancer

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