242例老年结直肠癌术前MNA-SF与NRS2002营养筛查结果及预后分析

doi:10.3969/j.issn.1006-6233.2017.10.012

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (1392 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective: To analyze the preoperative nutritional screening results of the Mini Nutritional Assessment Short Form(MNA-SF) and nutritional risk screening 2002 (NRS2002) in 242 elderly patients with colorectal cancer and their relationship with prognosis.Methods: MNA-SF and NRS2002 were used to evaluate the nutritional status of 242 elderly patients with colorectal cancer before operation. The relationship between the evaluation results and the clinical prognosis was analyzed, and the value of the two nutritional screening tools was compared.Results: There were 120 cases (49.59%) in MNA-SF nutritional risk group and 122 cases (50.41%)in MNA-SFnormal nutrition group while there were 99 cases (40.91%) in NRS2002 nutritional risk group and 143 cases (59.09%) in NRS2002 normal nutrition group, without significant difference (P>0.05). The consistent rate of test was 91.32%. The nutritional risk screened by MNA-SF and NRS2002 was related to age, course of disease, intestinal obstruction, differentiation degree, TNM stage and lymph node metastasis. 18 patients received nutritional support, including 16 cases (13.33%%) in MNA-SF nutritional risk groupand 1 case (0.82%) in MNA-SFnormal nutrition group, 18 cases (18.18%) in NRS2002 nutritional risk group. The incidence rates of complications in MNA-SF and NRS2002nutritional risk groupwere higher than those in normal nutrition groups, the hospitalization time was longer than that of normal nutrition groups, postoperative recurrence rate and mortality rate were higher than those of normal nutrition groups, with statistically significant differences (P<0.05). There was a statistically significant difference in the length of hospital stay between the MNA-SF nutritional risk group and the NRS2002 nutritional risk group(P> 0.05).Conclusion: MNA-SF and NRS2002 are of high guidance value in preoperative nutritional risk screening for elderly patients with colorectal cancer, and both of them are suitable for clinical nutritional risk screening.

Key words： Colorectal cancer MNA-SF NRS2002 Elderly Prognosis

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2017.10.012 OR http://www.hbyxzzs.cn/EN/Y2017/V23/I10/1623

[1]彭丽君,柳峻峰,李巍,等.CT与超声造影定量分析在结直肠癌肝转移早期疗效评估中的应用价值[J].中国CT和MRI杂志,2016,14(6):69~71.
[2] 肖奇,王晓杰,谢明水,等.贝伐珠单抗联合FOLFOX方案治疗对晚期结直肠癌VEGF、MMPs及COX-2表达的影响[J].医学临床研究,2016,33(12):2371~2374.
[3] 孟硕.结直肠腹腔镜与开腹手术术后静脉血栓形成的临床调查及护理配合分析[J].血栓与止血学,2016,22(2):212~214.
[4] 翟泽民,张燕忠.肿瘤患者营养筛查及评估方法的研究现状[J].中国基层医药,2017,24(1):137~141.
[5] 高春红,张英,王素英,等.简易营养评价精法在老年心血管疾病患者营养不良评估中的应用效果[J].中华现代护理杂志,2015,21(25):3006~3009.
[6] 刘春芳,叶枫林,顾侠,等.营养风险筛查表2002结合实验室营养指标检测对食管癌术前患者营养状况分析[J].蚌埠医学院学报,2015,40(6):824~827.
[7] 邵仟仟,林国乐.2017.V1版《NCCN结直肠癌诊治指南》更新解读[J].中国全科医学,2017,20(6):635~638.
[8] 黄彪,王琦三.结直肠癌患者营养风险筛查和营养支持状况研究[J].中国全科医学,2014,17(6):656~658.
[9] 黄英,郭丽娜,许欣筑,等.卧床院内感染患者的营养指标探讨[J].湖南师范大学学报(医学版),2015,12(3):35~37.
[10] 谢华,陈艳秋,范青,等.NRS2002和MNA-SF对老年住院患者营养不良风险筛查的应用比较[J].老年医学与保健,2014,20(5):337~339.
[11] 王征,姜玲,朱昀,等.老年冠心病住院患者营养状态评估及对住院日影响的研究[J].中华老年心脑血管病杂志,2016,18(4):384~387.
[12] 王秋梅,陈伟,宋长城,等.MNA和NRS2002对老年住院患者营养评估的比较[J].中华老年多器官疾病杂志,2014,13(7):528~531.
[13] 何干,杨强,白錬,等.有营养风险的老年结直肠癌患者术前肠内营养的临床研究[J].重庆医学,2017,46(10):1336~1338.
[14] 王天宝,石汉平,麦碧珍,等.结直肠癌患者营养不良评估及其与术后并发症的相关研究[J].中华肿瘤防治杂志,2012,19(14):1106~1108.
[15] Raslan M,Gonzalez MC,Torrinhas RS,et al.Complementarity of Subjective Global Assessment(SGA)and Nutritional Risk Screening 2002(NRS 2002)for predicting poor clinical outcomes in hospitalized patients[J].Clinical Nutrition,2011,30(1):49~53.
[16] Schwegler I,Holzen AV,Gutzwiller JP,et al.Nutritional risk is a clinical predictor of postoperative mortality and morbidity in surgery for colorectal cancer[J].Br Surg,2010,97(1):92~97.
[17] 周锦,曹雯雯,石军梅,等.手术患者营养风险筛查及营养支持与术后并发症和住院时间的相关性[J].中华临床营养杂志,2015,23(6):368~372.
[18] 郎华风,赵芳,胡金灵,等.结直肠癌患者营养风险筛查及对术后感染风险的影响[J].中华医院感染学杂志,2017,27(4):839~841.
[19] 刘峰,张洪军,郭洪春.术前营养风险筛查对结直肠癌患者影响的观察[J].中国现代普通外科进展,2015,18(6):495~496.
[20] Jie B,Jiang ZM,Nolan MT,et al.Impact of nutritional support on clinical outcome in patients at nutritional risk:Amulticenter,prospective cohort study in Baltimore and Beijing teaching hospitals[J].Nutrition,2009,26(11-12):1088~1093.