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：

聯合評估; 營養風險; 營養不良; 結直腸惡性腫瘤

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【摘要】　目的　探討使用營養風險篩查（nutritional risk screening，NRS）2002與生理生化指標聯合評估大腸癌患者術前營養及二者的定量關系。　方法　對2008年4月-2009年3月收治的367例大腸癌患者，用NRS 2002與生理生化指標分別評估其術前營養風險和營養狀況，對其進行相關性分析。　結果　有28%的大腸癌患者術前即存在營養風險，各評價指標對營養不良狀況的檢出率存在差異（9.3%～31.6%），且NRS 2002營養風險評分與血紅蛋白（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）、體量質指數（r=-0.231，P=0.000）均呈負相關。　結論　大腸癌患者術前即存在較高的營養風險和營養不良，且營養風險與術前營養狀況有關。
【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.	黃明君, 陳鳳姣, 楊蘋, 等. NRS 2002評估術前直腸癌患者營養狀況和護理對策[J]. 護士進修雜志, 2009, 24(20): 1854-1855.
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9.	林嫦梅, 路潛, 周玉潔. 用不同評價方法調查分析普外科患者術前營養狀況[J]. 中國臨床營養雜志,2008, 16(1): 12-17.
10.	朱步東, 薛德聯, 任小瓊. 惡性腫瘤病人營養不良評價方法的比較[J]. 中國臨床營養雜志, 2001, 9(1): 56-57.
11.	羅茜, 曹偉新, 吳蓓雯. 不同營養評價方法對消化系惡性腫瘤病人營養狀況評價的意義[J]. 外科理論與實踐, 2010, 15(4): 393-397.
12.	朱州, 黃順榮, 秦千子, 等. 胃腸癌住院手術患者的營養風險篩查分析[J]. 中國全科醫學, 2010, 13(8): 2736-2737.
13.	陳淑紅, 唐有為. 歐洲營養風險篩查方法在消化內科住院病人的應用[J]. 腸外與腸內營養, 2010, 17(4): 221-223.

1. 　黃明君, 陳鳳姣, 楊蘋, 等. NRS 2002評估術前直腸癌患者營養狀況和護理對策[J]. 護士進修雜志, 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. 　楊南竹, 曹麗萍. 結直腸癌患者術前營養風險篩查及術后復測[J]. 中國臨床營養雜志, 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, 蔣朱明, 朱賽楠, 等. 營養干預、營養風險對臨床結局影響研究的方法學[J]. 中國臨床營養雜志, 2008, 16(6): 367-370.
6. 　梁曉坤, 揭彬, 蔣朱明. 營養風險理念解讀[J]. 中國臨床營養雜志, 2007, 15(3): 167-170.
7. 　李洪清. 老年人結腸癌 11例臨床分析[J]. 中國實用醫藥, 2008, 3(29): 126.
8. 　龍輝, 王桂芳. 以貧血為主要表現的結腸癌104 例臨床分析[J]. 西部醫學, 2008, 20(6): 1196.
9. 　林嫦梅, 路潛, 周玉潔. 用不同評價方法調查分析普外科患者術前營養狀況[J]. 中國臨床營養雜志,2008, 16(1): 12-17.
10. 　朱步東, 薛德聯, 任小瓊. 惡性腫瘤病人營養不良評價方法的比較[J]. 中國臨床營養雜志, 2001, 9(1): 56-57.
11. 　羅茜, 曹偉新, 吳蓓雯. 不同營養評價方法對消化系惡性腫瘤病人營養狀況評價的意義[J]. 外科理論與實踐, 2010, 15(4): 393-397.
12. 　朱州, 黃順榮, 秦千子, 等. 胃腸癌住院手術患者的營養風險篩查分析[J]. 中國全科醫學, 2010, 13(8): 2736-2737.
13. 　陳淑紅, 唐有為. 歐洲營養風險篩查方法在消化內科住院病人的應用[J]. 腸外與腸內營養, 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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