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中华普通外科学文献(电子版) ›› 2011, Vol. 05 ›› Issue (06) : 492 -496. doi: 10.3877/cma.j.issn.1674-0793.2011.06.008

所属专题: 文献

论著

胃肠道肿瘤患者术前营养风险筛查与机体组分变化研究
吴晓滨1, 王华摄1, 杜艳平2, 刘中辉3, 李玲玲2, 温晓静1, 彭俊生1,()   
  1. 1. 510655 广州,中山大学附属第六医院食管胃肠外科
    2. 510655 广州,中山大学附属第六医院临床营养科
    3. 510655 广州,中山大学附属第六医院食管胃肠外科;510655 广州,中山大学附属第六医院内镜中心
  • 收稿日期:2011-09-05 出版日期:2011-12-01
  • 通信作者: 彭俊生
  • 基金资助:
    广东省科技计划项目资助(2008B030301105)

Study of nutritional risk screening and body composition changes in preoperative gastrointestinal cancer patients

Xiao-bin WU1, Hua-she WANG1, Yan-ping DU2, Zhong-hui LIU3, Ling-ling LI2, Xiao-jing WEN1, Jun-sheng PENG1,()   

  1. 1. Department of Esophagus and Gastrointestinal Surgery, the Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, China
  • Received:2011-09-05 Published:2011-12-01
  • Corresponding author: Jun-sheng PENG
  • About author:
    Corresponding author: PENG Junsheng, Email:
引用本文:

吴晓滨, 王华摄, 杜艳平, 刘中辉, 李玲玲, 温晓静, 彭俊生. 胃肠道肿瘤患者术前营养风险筛查与机体组分变化研究[J/OL]. 中华普通外科学文献(电子版), 2011, 05(06): 492-496.

Xiao-bin WU, Hua-she WANG, Yan-ping DU, Zhong-hui LIU, Ling-ling LI, Xiao-jing WEN, Jun-sheng PENG. Study of nutritional risk screening and body composition changes in preoperative gastrointestinal cancer patients[J/OL]. Chinese Archives of General Surgery(Electronic Edition), 2011, 05(06): 492-496.

目的

探讨胃肠道肿瘤患者营养风险发生情况及机体组分的改变。为营养治疗的选择提供依据。

方法

选取胃肠道肿瘤患者132例作为研究对象,多频生物电阻抗分析仪测定患者机体组分,应用营养风险筛查2002(NRS 2002)进行筛查。

结果

胃癌患者NRS 2002≥3分的发生率明显高于结直肠癌患者(P < 0.001);胃癌患者肥胖度、体重指数(BMI)、体重比、脂肪相对比、脂肪含量相对比、细胞质量均低于结直肠癌患者(P < 0.05);存在营养风险的患者肥胖度、BMI、体重比、脂肪含量相对比、细胞质量均低于不存在营养风险患者(P < 0.05)。

结论

胃癌患者存在营养风险的发生率明显高于结直肠癌患者,胃癌患者更易出现脂肪的丢失。

Objective

To investigate nutritional risk screening and body composition changes in preoperative gastrointestinal cancer patients, and provide basis for nutritional treatment choice.

Methods

One hundred and thirty-two patients with gastrointestinal cancer were selected as the object of study. A multi-frequency bioelectrical impedance analysis was applied to measure the patients’body composition. The nutritional risk screening 2002 (NRS 2002) was applied for screening.

Results

The rate of gastric cancer patients with NRS 2002 scores more than 3 was significantly higher than that of colorectal cancer patients (P < 0.001). Obesity degree, body mass index (BMI), weight ratio, relative ratio of fat, relative ratio of fat content and cell mass in gastric cancer patients, were lower than that of colorectal cancer patients (P < 0.05). And such indexes (except relative ratio of fat) in the patients with nutritional risk were lower than that in patients without nutritional risk (P < 0.05).

Conclusions

The incidence of nutritional risk of gastric cancer patients is significantly higher than that of patients with colorectal cancer. Gastric cancer patients are more vulnerable to fat loss.

表1 132例胃肠道肿瘤患者一般资料
表2 结肠癌与直肠癌患者NRS 2002评分的比较[例(%)]
表3 胃癌与结直肠癌患者NRS2002评分的比较[例(%)]
表4 结肠癌与直肠癌患者机体组分的比较( ± s)
表5 胃癌与结直肠癌机体组分的比较( ± s)
表6 存在营养风险与不存在营养风险患者机体组分的比较( ± s
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