重庆市某医院常见恶性肿瘤住院患者营养状况调查

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Abstract Objective To investigate the nutritional status of hospitalized patients with common malignant tumor in Chongqing General Hospital. Methods From May 4th 2015 to Dec 31st 2015, we enrolled 311 patients with cancer hospitalized for treatment in Chongqing General Hospital. These patients were diagnosed with one of the following 16 different types of malignant tumors: lung cancer, gastric cancer, liver cancer, colorectal cancer, breast cancer, esophageal cancer, cervical cancer, endometrial cancer, nasopharyngeal carcinoma, malignant lymphoma, leukemia, pancreatic cancer, ovarian cancer, prostate cancer, bladder cancer and brain tumor. Nutritional risk screening 2002 (NRS 2002), patient-generated subjective global assessment (PG-SGA), anthropometric measurements, and laboratory examination were used to evaluate the nutritional risk or nutritional status. We also investigated the nutritional therapy of these cancer patients. Results According to the NRS 2002 score, 138 patients (44.37%) had the nutritional risk (score≥3); With PG-SGA score as standard, 52.73% (164/311)of the cancer patients were malnutrition (PG-SGA≥4), and 31.19% (97/311) were severe malnutrition (PG-SGA≥9). The rate of malnutrition for gastrointestinal cancer patients is higher than Nongastrointestinal cancer patients (65.41% vs. 43.26%, χ2=13.417, P<0.001). Multiple linear regression analysis, PG-SGA scores and body mass index (P<0.001), serum albumin (P<0.001), prealbumin (P<0.001), the percentage of weight loss in the recent 1 month(P<0.001), calf circumference (left side, P=0.001)，non-profit grip strength (P=0.001) were correlated, in which left calf circumference, last 1 month weight loss percentage correlation with PG-SGA scoring the best (regression coefficient b-0.872, 0.861, P<0.001, respectively), hemoglobin, arm muscle circumference and PG-SGA scores correlated without statistical significance (P, 0.268, 0.218, respectively); 43.90% (72/164) of all the moderately and severely malnourished patients received nutritional therapy, 91.7% (66/72) were receive only parenteral nutrition, 6.94% (5/72) were received enteral and parenteral nutrition, just one case (1.38%, 1/72) were received only enteral nutrition. Conclusions 52.73% of the common malignant tumor patients enrolled in the present study were malnutrition. PG-SGA is an effective tool to assess malnutrition in cancer patients, it is recommended to conduct routine assessment of cancer patients at the beginning of admission. Nutritional therapy of malignant tumor patients with malnutrition is very low, especially enteral nutritional support. Suggestions for patients with malignant tumor after admission nutritional risk screening, and comprehensive nutritional evaluation, including PG-SGA score, and to give the right nutritional therapy.

Key words： Cancer Nutritional risk screening Nutritional assessment PG-SGA Nutritional therapy

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http://www.ejmnc.org/EN/ OR http://www.ejmnc.org/EN/Y2017/V4/I1/45