Investigation and Analysis on the Clinical Situation of Nutritional Risk Screening in Patients with Gastric Cancer_West China Medical Journal

Authors：

YIN Yiqiong , LIU Chunjuan , LIU Lirong , ZHONG Jing , WEN Yue

Gastrointestinal Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

Keywords：

胃癌; 营养风险; 筛查; 分析

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【摘要】　目的　调查胃癌患者的营养风险及营养支持应用现状。　方法　 2009年9月-2010年1月，对某三甲医院普外科收治的120例胃癌住院患者营养情况进行营养风险筛查2002（nutritional risk screening 2002，NRS 2002）评估，并就营养支持应用方式进行分析。　结果　所有患者中营养不足和营养风险的发生率分别为11.7%和27.5%；在33例有营养风险患者中，有26例（78.8％）接受了营养支持；在无营养风险的87例患者中，有30例（34.5％）接受了营养支持。　结论　对有营养风险的患者进行必要的营养支持，对于减少患者住院期间感染性并发症或其他不良临床结局的发生有积极作用。NRS 2002的方法简便，适用于胃癌患者的营养风险筛查，但医护人员需要进一步加强对肠外、肠内营养指南的认识。
【Abstract】　Objective　 To investigate the clinical situation of nutritional risk screening for hospitalized patients with gastric cancer.　Methods　 From September 2009 to January 2010, we applied nutrition risk screening 2002 (NRS 2002) to investigate the nutritional status of 120 hospitalized gastric cancer patients in the surgery department of a tertiary hospital, and analyzed the way of nutritional support for these patients.　Results　 Among all the patients, the incidences of undernutrtion and nutritional risk were respectively 11.7% and 27.5%. Twenty-six out of the 33 nutritional risk patients received nutrition support, and 30 out of the 87 patients without nutritional risk received nutrition support.　Conclusions　 Nutritional support for patients with nutritional risk is important in decreasing the occurrence of in-hospital infectious complications and other bad clinical outcomes. NRS 2002 is a simple and easy tool for predicting the nutrition risk in hospitalized gastric cancer patients, but the guideline of enteral nutrition and parenteral nutrition must be reinforced among doctors and nurses.

Citation： YIN Yiqiong,LIU Chunjuan,LIU Lirong,ZHONG Jing,WEN Yue. Investigation and Analysis on the Clinical Situation of Nutritional Risk Screening in Patients with Gastric Cancer. West China Medical Journal, 2011, 26(10): 1536-1538. doi: Copy

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1. 　吴国豪, 秦新裕. 胃癌患者的营养支持[J]. 中华医学杂志, 2004, 84(3): 179-181.
2. 　印义琼, 李卡, 陈增蓉. 老年腹部疾病病人的外科护理[J]. 华西医学, 2006, 21(3): 605-606.
3. 　Kondrup J, Rasmussen HH, Hamberg O, et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials[J]. Clin Nutr, 2003, 22(3): 321-336.
4. 　Kondrup J, Allison SP, Elia M, et al. ESPEN guidelines for nutrition screening 2002[J]. Clin Nutr, 2003, 22(4): 415-421.
5. 　蒋朱明, 陈伟, 朱赛楠, 等. 我国东中西部大城市三甲医院营养不良(不足)、营养风险发生率及营养支持应用状况调查[J]. 中国临床营养杂志, 2008, 16(6): 335-337.
6. 　Jie B, Jiang ZM, Nolan MT, et al. Impact of nutritional support on clinical outcome in patients at nutritional risk: a multicenter, prospective cohort study in Baltimore and Beijing teaching hospitals [J]. Nutrition, 2010, 26(11-12): 1088-1093.
7. 　Schiesser M, Müller S, Kirchhoff P, et al. Assessment of a novel screening score for nutritional risk in predicting complications in gastro-intestinal surgery [J]. Clin Nutr, 2008, 27(4): 565-570.
8. 　陈博, 伍晓汀. 住院患者营养风险筛查[J]. 华西医学, 2011, 26(2): 114-117.
9. 　American Gastroenterological Association (AGA). American Gastroenterological Association medical position statement: parenteral nutrition[J]. Gastroenterology, 2001, 121(4): 966-969.
10. 　Lochs H, Allison SP, Meier R, et al. Introductory to the ESPEN guidelines on enteral nutrition: terminology, definitions and general topics[J]. Clin Nutr, 2006; 25(2): 180-186.
11. 　中华医学会. 临床诊疗指南-肠外肠内营养学分册[M]. 北京: 人民卫生出版社, 2007: 15-81.
12. 　陈伟, 蒋朱明, 张永梅, 等. 欧洲营养风险调查方法在中国住院患者的临床可行性研究[J]. 中国临床营养杂志, 2005, 13(3): 137-141.
13. 　The Veterans Affairs Total Parenteral Nutrition Cooperation Study Group. Perioperative total parenteral nutrition in surgical patients[J]. N Engl J Med, 1991, 325(8): 525-532.

West China Medical Journal

Investigation and Analysis on the Clinical Situation of Nutritional Risk Screening in Patients with Gastric Cancer

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