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消化道肿瘤化疗患者的营养状况及其对生活质量的影响
引用本文:赵明,李勇.消化道肿瘤化疗患者的营养状况及其对生活质量的影响[J].中国全科医学,2009,12(3).
作者姓名:赵明  李勇
作者单位:北京大学医学部公共卫生学院营养与食品卫生系,北京市,100191
摘    要:目的 调查消化道肿瘤化疗患者的营养状况,并探讨营养状况对患者生活质量的影响.方法使用人体测量法、实验室检查法和主观全面评价法(SGA)调查77例消化道肿瘤患者的营养状况,使用癌症患者生活质量测定量表(QLQ-C30)评估患者的生活质量,并比较营养良好者与营养不良者的生活质量.结果 SGA评定营养良好者65例(84.4%),营养不良者12例(15.6%).营养良好者躯体功能、疲乏、恶心呕吐、疼痛、呼吸困难、食欲丧失及整体健康状况/生活质量评分与营养不良者比较,差异均有统计学意义(P<0.05).结论消化道肿瘤患者多数存在营养不良,建议将SGA与其他营养指标相结合来判断患者的营养状况.营养良好者与营养不良者的生活质量不同,故应重视患者的营养评价,改善患者的营养状态和生活质量.

关 键 词:消化道肿瘤  化疗  营养状况  生活质量

Nutritional Status and Its Influence on Quality of Life among Digestive Tract Cancer Patients Treated with Chemotherapy
ZHAO Ming,LI Mong.Nutritional Status and Its Influence on Quality of Life among Digestive Tract Cancer Patients Treated with Chemotherapy[J].Chinese General Practice,2009,12(3).
Authors:ZHAO Ming  LI Mong
Institution:ZHAO Ming,LI Yong.Department of Nutrition , Food Hygiene,School of Public Health,Health Science Center of Peking University,Beijing 100191,China
Abstract:Objective To study the nutritional status and investigate its effect on quality of life among digestive tract cancer patients treated with chemotherapy.Methods The subjective global assessment(SGA),anthropometric measurements and laboratory testing were taken in the nutrition assessment of 77 patients with digestive tract cancer.The patients' quality of life(QOL)was assessed by using EORTC QLQ-C30,and the QOLs between the patients in good nutrition and the patients in malnutrition were compared.Results Acco...
Keywords:Digestive tract cancer  Chemotherapy  Nutritional status  Quality of life  
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