中国肿瘤外科杂志2025，Vol.17Issue(6)：583-587,5.DOI:10.3969/j.issn.1674-4136.2025.06.009
术前NRS 2002评分与胃癌患者腹腔镜术后并发症及短期预后的相关性分析
Correlation analysis of preoperative NRS 2002 score with postoperative complications and short-term prognosis of gastric cancer patients after laparoscopy
摘要
Abstract
Objective To analyze the correlation between the preoperative Nutritional Risk Screening 2002(NRS 2002)score and the postoperative complications and short-term prognosis of patients with gastric cancer after laparoscopy.Methods A total of 118 gastric cancer patients who underwent laparoscopic radical gastrectomy in Qingdao Central Hospital,University of Health and Rehabilitation Sciences from January 2023 to January 2025 were included and observed.The nutritional risk of all patients was evaluated by the NRS 2002 score before the operation and they were grouped.The preoperative and intraoperative clinical data,the occurrence of complications within 30 days after the operation and the short-term prognostic indicators were statistically analyzed.Results Among 118 patients with gastric cancer,42 cases had nutritional risk(total nutritional score≥3),with an incidence rate of 35.59%(42/118),and they were classified as the nutritional risk group.The remaining 76 cases did not have nutritional risks(total nutritional score＜3)and were classified as the non-nutritional risk group.Patients in the nutritionally at-risk group had significantly higher rates of overall postoperative complications,intra-abdominal infection,and delayed gastric emptying compared to the non-risk group(P＜0.05).No significant differences were observed between the two groups in the incidence of anastomotic leakage,surgical site infection,intra-abdominal hemorrhage,postoperative obstruction,or duodenal stump leakage(P＞0.05).Regarding Clavien-Dindo complication grading,the incidence of Grade I complications did not differ significantly between the groups(P＞0.05).However,the nutritionally at-risk group had a significantly higher incidence of complications graded≥Ⅱ compared to the non-risk group(P＜0.05).Compared to the non-risk group,patients in the nutritionally at-risk group had significantly longer times to first postoperative flatus,first postoperative liquid diet intake,and postoperative hospital stay.They also incurred significantly higher total hospitalization costs,had significantly lower serum albumin(ALB)levels at 1 month postoperatively,and experienced a significantly higher 30-day readmission rate(P＜0.05).Conclusions Routine preoperative nutritional risk screening using the NRS 2002 system for gastric cancer patients,combined with intensified perioperative nutritional support and management for those identified at risk,represents a critical strategy for improving postoperative outcomes.关键词
胃癌/腹腔镜胃癌根治术/营养风险筛查2002/术后并发症/短期预后Key words
Gastric cancer/Laparoscopic radical gastrectomy/Preoperative nutritional risk screening 2002/Postoperative complications/Short-term prognosis引用本文复制引用
WANG Xinbin,XING Fangzhou,ZHANG Lianda,LIU Yang..术前NRS 2002评分与胃癌患者腹腔镜术后并发症及短期预后的相关性分析[J].中国肿瘤外科杂志,2025,17(6):583-587,5.基金项目
2022年度山东省自然科学基金项目(SD2022QA023) （SD2022QA023）
