期刊文献+

结直肠癌术后化疗患者营养风险调查及影响因素分析

Survey and Facotrs Influencing Analysis on the Nutrition Risks of the Colorectal Carcinoma Patients Undergoing Postoperative Chemotherapy
收藏 分享 导出
摘要 为调查结直肠癌术后化疗患者营养风险情况及其影响因素,选择2016年1月至2017年10月于我院接受手术治疗的164例结直肠癌患者进行研究,根据术后是否接受化疗分组,即化疗组(89例)和未化疗组(75例),分析组间营养风险情况,并对可能影响结直肠癌化疗患者营养风险的临床因素进行分析。结果显示,化疗组患者疾病严重程度及营养状态评分均明显高于未化疗组,P<0.05;2组年龄评分比较差异无统计学意义,P>0.05;化疗组NRS2002评估表总分显著高于未化疗组,P<0.05。89例结直肠癌术后化疗者中,术后发生营养风险(营养风险评估得分≥3分)者53例(59.55%)。与营养风险评估得分<3分组相比,≥3分组患者年龄更大,TNM分期≥Ⅲ期的比例更高,化疗次数更多,术前白蛋白(Alb)水平更低,P<0.05。结果表明,结直肠癌术后化疗患者存在较高的营养风险;且与年龄、TNM分期、化疗次数及术前Alb水平相关。 To investigate the nutrition risks of the colorectal carcinoma patients undergoing postoperative chemotherapy,and analyse the factors influencing them,164 patients with colorectal carcinoma received surgery in author's hospital(2016-01-2017-10)were enrolled in this study and divided into chemotherapy group (89 cases)and without chemotherapy group (75 cases),then both group's nutrition risks and clinical factors that influenced patient's nutrition risks were analysed.As results,in chemotherapy group patients" score on disease severityand nutrition condition were all significantly higher than that in the without chemotherapy group (P<0.05);in age score there was no statistical difference between the two groups(P>0.05);the total points of NRS 2002 scale in chemotherapy group were significantly higher than that in without chemotherapy group (P<0.05);in chemotherapy group the nutrition risk rating ≥3 points were in 53 cases(53/89,59.55%);compared with who were of nutrition risk rating<3 points who (≥3 points) were older,had their ratio(TNM staging≥Ⅲstage)more higher,more time-numbers(chemotherapy),and more lower preoperative Alb level (P<0.05).Results show that the colorectal carcinoma undergoing chemotherapy are at high risk of nutrition,which are related to patients' age,TMN staging,chemotherapy time-number,and preoperative Alb level.
作者 付梦丽 FU Meng-li(The Allocation Center for Intravenous Drugs,the Central Hospital of Nanyang City,Nanyang,Henan 473000)
出处 《中国肛肠病杂志》 2018年第11期24-26,共3页 Chinese Journal of Coloproctology
关键词 结直肠癌 术后 化疗 营养风险 影响因素 Colorectal carcinoma Postoperation Chemotherapy Nutrition risk Influence factor
  • 相关文献

参考文献7

二级参考文献65

  • 1牛俊奇,王立强.血清前白蛋白在肝病检测中临床意义的再评价[J].白求恩医科大学学报,1997,23(3):274-275. 被引量:20
  • 2Jia ZY, Yang J, Tong DN, et al. Screening of nutritional risk and nutritional support in general surgery patients: a survey fromshanghai, china[J]: Int Surg, 2015, 100(5): 841-848. 被引量:1
  • 3Tegels J J, de Maat MF, Hulsewe KW, et al. Value of geriatric frailty and nutritional status assessment in predicting postoperative mortality in gastric cancer surgery[J]. J Gastrointest Surg, 2014, 18(3): 439-446. 被引量:1
  • 4Barbosa LR, Lacerda-Filho A, Barbosa LC. Immediate preopera- tive nutritional status of patients with colorectal cancer: a warn- ing[J]. Arq Gastroenteml, 2014, 51(4): 331-336. 被引量:1
  • 5Kondrup 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. 被引量:1
  • 6Seo KW, Yoon KY. Nutritional assessment and perioperative nu- tritional support in gastric cancer patients[J]. Korean J Gastroen- terol, 2013, 61(4): 186-190. 被引量:1
  • 7Tagawa M, Myotoku M, Iwamoto C, et al. Nutritional assessment employing the malnutrition universal screening tool for patients with colorectal cancer undergoing outpatient chemotherapy[J]. Gan To Kagaku Ryoho, 2013, 40(9): 1185-1188. 被引量:1
  • 8Chen Y, Liu BL, Shang B, et al. Nutrition support in surgical patients with colorectal cancer[J]. World J Gastroenterol, 2011, 17 (13): 1779-1786. 被引量:1
  • 9Barret M, Malka D, Aparicio T, et al. Nutritional status affects treatment tolerability and survival in metastatic colorectal cancer patients: results of an AGEO prospective multicenter study[J]. Oncology, 2011, 81(5/6): 395-402. 被引量:1
  • 10Qiu M, Zhou YX, Jin Y, et al. Nutrition support can bring sur- vival benefit to high nutrition risk gastric cancer patients who received chemotherapy[J]. Support Care Cancer, 2015, 23 (7): 1933-1939. 被引量:1

共引文献82

投稿分析
职称考试

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈