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消化系统恶性肿瘤病人营养状况与生活质量评价

罗茜 曹伟新 施咏梅

外科理论与实践Issue(1):44-48,5.
外科理论与实践Issue(1):44-48,5.DOI:10.16139/j.1007-9610.2016.01.011

消化系统恶性肿瘤病人营养状况与生活质量评价

Nutrition and quality of life in digestive cancer patients

罗茜 1曹伟新 1施咏梅1

作者信息

  • 1. 上海交通大学医学院附属瑞金医院临床营养科,上海 200025
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摘要

Abstract

Objective To assess nutrition and quality of life (QOL) in the patients with digestive cancer. Methods Nutritional status was assessed by patient-generated subjective global assessment (PG-SGA), laboratory testing of serum prealbumin, albumin and hemoglobin and by nutritional risk screening 2002 (NRS-2002) for 188 patients with digestive cancer on admission. The correlation of assessment with these methods was analyzed. QOL was assessed using EORTC QLQ-C30 and compared among different nutritional status. Results Using PG-SGA assessment, we found 39 patients (20.7%) in good nutritional status, 102 patients (54.3%) in mild-moderate malnutrition and 47 patients (25.0%) in severe malnutrition. The results from the evaluation of PG-SGA correlated significantly with those with laboratory testing and NRS-2002 (P<0.05). There were significant differences of serum prealbumin, albumin, hemoglobin and NRS-2001 scores among the patients in different nutritional status. The significant differences were found in physical function, role function, social function, fatigue, nausea/vomiting, pain, dyspnea, sleepless, appetite loss, financial difficulties and general health status (P<0.05) among patients in different nutritional status but not in emotion function, cognitive function, constipation and diarrhea (P>0.05). Conclusions PG-SGA might be of higher value for the assessment of nutritional status of patients with digestive cancer. A large percentage of the patients with digestive cancer on admission were in malnutrition status and nutritional status of the patients was associated closely with QOL.

关键词

消化系统恶性肿瘤/营养状况/生活质量

Key words

Digestive cancer/Nutritional status/Quality of life

分类

医药卫生

引用本文复制引用

罗茜,曹伟新,施咏梅..消化系统恶性肿瘤病人营养状况与生活质量评价[J].外科理论与实践,2016,(1):44-48,5.

外科理论与实践

OACSTPCD

1007-9610

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