营养风险筛查和主观全面评定用于肺癌非手术患者营养筛查的比较

目的调查肺癌非手术患者营养风险、营养不良（不足）、超重／肥胖发生率，比较营养风险筛查2002（NRS2002）和主观全面评定（SGA）用于肺癌非手术患者营养筛查的适用性和结果。方法连续定点抽样，对符合入选标准、获知情同意的153例肺癌非手术患者在人院次日晨分别采用NRS2002和SGA进行营养筛查，NRS2002筛查营养不足以体重指数（BMI）的中国标准判定。结果153例患者均完成NRS2002和SGA。用BMI中国标准判定营养不足、超重和肥胖发生率分别为10．5％、37．9％和9．1％。NRS2002筛查显示营养风险发生率为34．6％，SGA筛查显示营养不足发生率为33．3％；两种方法在营养不足筛查结果间差异无显著性（P=0．845）。结论NRS2002和SGA均适用于肺癌非手术患者营养不足筛查，NRS2002还可同时筛查患者的营养风险。

Comparison of Nutritional Risk Screening and Subjective Globe Assessment for Nutritional Screening in Inpatients with Non-operative Pulmonary Carcinoma

Objective To investigate the prevalence of nutritional risk, malnutrition （ undernutrition ）, and overweight/obesity and to compare the feasibility and result of Nutritional Risk Screening 2002 （NRS2002）and Subjective Globe Assessment （SGA） in inpatients with non-operative pulmonary carcinoma. Methods Totally 153 patients who met the entry criteria and signed informed consent were consecutively enrolled in this protocol. Nutritional screening was performed on the next morning of hospital admission by NRS2002 and SGA. Results All patients completed both NRS2002 and SGA. The prevalences of undernutrition, overweight, and obesity judged by body mass index （BMI） Chinese standard were 10. 5% , 37.9% , and 9. 1% , respectively. Prevalence of nutritional risk or undernutrition screened by NRS2002 or SGA was 34.6% or 33.3% , respectively. No significant difference was observed between the results of these two screening tools （ P = 0. 845 ）. Conclu- sions Both NRS2002 and SGA were feasible in screening undernutrition in inpatients with non-operative pulmonary carcinoma at hospital admission. NRS2002 can be used for screening nutritional risk as well.