基层医院消化系统恶性肿瘤患者化疗后营养状况调查

目的调查基层医院消化系统恶性肿瘤化疗后患者的营养状况,并分析其对患者生活质量的影响。方法选取2011年1月—2014年1月在我院行消化系统恶性肿瘤化疗患者80例,均在入院后治疗前采集人体测量指标、实验室检测指标,评价其综合营养状况和生活质量。结果根据肱三头肌皮脂厚度、体质指数、实际体质量与理想体质量比值,本组80例患者中营养不良者分别为40例(50.00%)、15例(18.75%)、20例(25.00%)。根据清蛋白、前清蛋白、血红蛋白、总淋巴细胞计数,本组80例患者中营养不良者分别为6例(7.50%)、16例(20.0%)、35例(43.75%)、38例(47.50%)。根据主观全面评价法(SGA)评价结果,本组80例患者中70例(87.50%)营养良好,10例(12.50%)营养不良。营养良好患者肱三头肌皮脂厚度、体质指数、实际体质量与理想体质量比值、总淋巴细胞计数、癌症患者生活质量量表得分均高于营养不良患者(P0.05)。本组患者生活质量领域得分为(64±18)分。结论基层医院消化系统恶性肿瘤化疗后患者营养不良发生率较高,影响了患者生活质量,可以结合SGA及其他营养状况评价指标对其进行营养调查。

Investigation on Nutritional Status of Post- chemotherapy Patients with Digestive System Malignant Tumors in Primary Hospital

Objective To investigate the nutritional status of post-chemotherapy patients with digestive system malignant tumors in primary hospital. Methods Between January 2011 and January 2014,a total of 80 post- chemotherapy patients with digestive system malignant tumors were selected,they all underwent human body measurement,laboratory test,and comprehensive nutritional status and quality of life evaluated. Results By measurement of skinfold thickness of triceps muscle of arm,BMI,ratio of actual body weight and ideal body weight,there was 40（50. 00%）,15（18. 75%）,20（25. 00%） cases of malnutrition,respectively. By test of albumin,prealbumin,hemoglobin,total lymphocyte cont,there was 6（7. 50%）,16（20. 0%）,35（43. 75%）,38（47. 50%） cases of malnutrition,respectively. By subjective global assessment（ SGA）,70 patients with good nutrition（87. 50%）,10 patients with malnutrition（12. 50%）; skinfold thickness of triceps muscle of arm,BMI,ratio of actual body weight and ideal body weight,total lymphocyte cont,score of quality of life scale of tumors patients in the 70 patients with good nutrition were higher than those of the 10 patients with malnutrition. The mean score of quality of life of the 80 patients was（64 ± 18）. Conclusion The incidence of malnutrition of post- chemotherapy patients with digestive system malignant tumors in primary hospital is high,which will affect the quality of life,SGA combined with other nutrition evaluation index is useful in the investigation on nutritional status.