营养风险筛查2002和主观全面评定法在鼻咽癌患者中的应用比较

目的:调查鼻咽癌患者营养风险、营养不足、超重和肥胖发生率,比较营养风险筛查2002(NRS2002)和主观全面评定法(SGA)用于鼻咽癌患者营养筛查的适用性和结果。方法:采用连续定点抽样,对符合入选标准、获知情同意的126例鼻咽癌患者在入院次日晨分别采用NRS2002和SGA进行营养筛查,NRS2002筛查营养不良以体质指数(BMI)中国标准判定。结果:126例鼻咽癌患者均完成NRS2002和SGA调查。用BMI中国标准判定营养不足、超重和肥胖发生率分别为7.9%、22.2%和6.4%。NRS2002调查显示营养风险发生率为34.1%,SGA筛查显示营养不足发生率为32.5%,两种方法在营养不足、营养不足发生率筛查结果间差异没有统计学意义(P>0.05)。结论:NRS2002和SGA均适用于鼻咽癌患者营养不足的筛查,NRS2002还可同时筛查患者的营养风险,建议对鼻咽癌患者入院时使用该法对其进行营养筛查。

Comparison of Nutritional Risk Screening 2002 and Subjective Globe Assessment for Nutritional Screening in Patients with Nasopharyngeal Carcinoma

Objective：To investigate the prevalence of nutrition rist,malnutrition（undernutrition）,overweight and obesity,and compare the feasibility and result of Nutritional Risk Screening 2002（NRS2002）and Subjective Global Assessment（SGA） in patients with nasopharyngeal carcinoma（NPC）.Methods：Total of 126 patients enrolled in this study.Nutrition screening was performed on the next morning of hospital admission by NRS2002 and SGA.Results：All 126 patients completed both NRS2002 and SGA.The prevalence of undernutrition,overweight and obesity judged by body mass index（BMI） Chinese standard were 7.9%,22.2% and 6.4% respectively.The prevalence of nutrition risk or undernutrition screened by NRS2002 or SGA were 34.1% and 32.5% respectively.No significant difference was observed between the result of two screening tools（P0.05）.Conclusion：Both NRS2002 and SGA are feasible in screening undernutrition in patients with nasopharyngeal carcinoma at hospital adimission.NRS2002 can be used for screening nutritional rist as well.