摘要
Abstract
Objective To investigate the correlation of pre-operative nutritional status with prognosis and quality of life in elderly patients undergoing radical gastrectomy.Methods From January to December 2016,the nutritional status in 120 elderly patients with gastric cancer was assessed with Nutritional Risk Screening Scale (NRS2002) before radical gastrectomy.According to the results,the patients were divided into a nonnutritional risk group (n=48,NRS2002 ＜ 3 points) and a nutritional risk group (NRS2002 ≥ 3,n=72).The patients were followed up for 2 years.The survival rates 1 and 2 years after the operation and recurrence rate of the two groups were recorded.The quality of life in both groups were evaluated with quality of life scale (QLQ-30).Results The postoperative infection rate was higher in the nutrition risk group than in the non-nutrition risk group (22.06％ vs.3.84％).The survival rates 1 and 2 years after the operation were lower in the nutrition risk group than in the non-nutrition risk group than nutrition risk group (88.23％ vs.100.00％ and 76.47％ vs.96.15％)(P ＜ 0.05).After the operation,the scores of social function,emotional function,cognitive function,role function,physical function,and overall quality of life were (68.9±3.5),(71.2±4.2),(70.8±3.8),(72.2±4.0),(73.2±3.5),and (71.5±3.2) in the nutrition risk group and were (87.9±3.7),(88.9±3.0),(92.2±3.5),(90.5±4.8),(91.2±3.7),and (89.6±4.0) in the non-nutritional risk group (all P ＜ 0.05).Conclusions Pre-operative nutritional status of elderly patients with gastric cancer significantly influences their post-operative survival rate and quality of life.Preoperative nutritional intervention on the patients with nutritional risk will help improve their survival rate and quality of life.关键词
胃癌根治术/术前营养状况/预后/生活质量Key words
Radical gastrectomy/Pre-operative nutritional status/Prognosis/Quality of life
