鼻咽癌患者同步放化疗前后营养风险筛查的比较

目的调查及比较鼻咽癌患者同步放化疗前后营养风险、营养不足的发生率,为鼻咽癌患者实施营养干预提供临床依据。方法 60例拟行同步放化疗的初治鼻咽癌患者,于入院后第2 d和同步放化疗后第14 d利用营养风险筛查2002（NRS2002）和主观全面评定法（SGA）进行营养筛查。比较同步放化疗前后,鼻咽癌患者营养风险、营养不足发生率等的变化。结果鼻咽癌患者入院时营养风险及营养不足发生率分别为38.33%及31.67%,同步放化疗后14d分别为76.67%、71.67%;鼻咽癌患者同步放化疗后营养风险及营养不足发生率比同步放化疗前明显增高,差异有统计学意义（P均〈0.05）。结论鼻咽癌患者同步放化疗前即有部分存在营养风险及营养不足,同步放化疗后营养风险及营养不足的发生率明显增高,应于同步放化疗前后对存在营养风险及营养不足的鼻咽癌患者进行合理的营养支持。

Nutritional Risk Screening Comparison before and after Concurrent Radiotherapy and Chemotherapy for Nasopharyngeal Carcinoma Patients

Objective To provide clinical basis for nutrition intervention for nasopharyngeal carcinoma(NPC)patients,the incidence rates of nutritional risk and malnutrition were investigated and compared before and after concurrent radiotherapy and chemotherapy.Methods Nutritional screening was done for 60 untreated nasopharyngeal carcinoma patients,using nutritional risk screening 2002(NRS2002) and subjective global assessment(SGA),on the 2nd day after admission and the 14th day after concurrent radiotherapy and chem...