不同部位的大肠癌患者术前营养风险筛查

目的 探讨大肠癌患者不同患病部位对其术前营养风险评分的影响.方法 回顾研究了2008年4月至2009年3月四川大学华西医院胃肠外科中心确诊并施行手术的385例大肠癌患者,分为右半结肠癌组、左半结肠癌组、直肠癌组,采用国际认可的NRS-2002营养风险筛查量表和血清学营养指标进行术前营养评估.结果 右半结肠癌组NRS-2002评分分布与左半结肠癌和直肠癌组比较差异显著,但后两者评分分布比较无显著差异;右半结肠癌HGB、TP、ALB血清浓度及A/G显著低于另2组,但ALT、AST、Ca2+、PO43-浓度比较3组均无显著差异.结论 近端结肠癌(右半结肠癌)患者更易发生术前营养不良风险,应针对不同部位的患者给予相应的术前营养评估和营养支持.

Nutritional risk screening for preoperative patients with different parts of colorectal cancer

Objective To investigate the impact of nutritional risk of preoperative patients with different parts of colorectal cancer. Methods 385 cases of surgical patients diagnosed with colorectal cancer were selected in the retrospective study in April 2008 to March 2009, Gastrointestinal Surgery Center of West China Hospital in Sichuan University. Patients were divided into the right colon cancer group, the left colon cancer group, the rectal cancer group, using internationally recognized NRS- 2002 Scale and serum nutrition indicators to assess their preoperative nutrition. Results NRS-2002 score in the right colon cancer group showed higher than the left colon and rectal cancer group, but no statistical difference between the latter two rates; serum concentrations of HGB, TP, ALB, A/G were lower in the right colon cancer group than the other two groups, but the concentrations of ALT, AST, Ca2+, PO43-showed no statistical difference among three groups. Conclusions The proximal colon (right colon cancer) were more susceptible to the risk of preoperative malnutrition, the patients with different parts of colorectal cancer should be given to the corresponding preoperative nutritional assessment and nutritional support.