[摘要] 目的 探討結(jié)直腸癌患者營養(yǎng)不良的危險(xiǎn)因素和營養(yǎng)支持狀況，為臨床合理開展?fàn)I養(yǎng)支持提供參考。 方法 采用定點(diǎn)連續(xù)抽樣法選取2014年10月～2017年9月我院收治的結(jié)直腸癌患者600例，于入院次日清晨采用營養(yǎng)風(fēng)險(xiǎn)篩查2002（NRS2002）進(jìn)行營養(yǎng)風(fēng)險(xiǎn)評(píng)估，分析不同性別、年齡患者營養(yǎng)風(fēng)險(xiǎn)狀況以及營養(yǎng)風(fēng)險(xiǎn)與營養(yǎng)支持之間的關(guān)系。 結(jié)果 共有600例患者入選并完成NRS評(píng)分，NRS2002適用率為100.00%；入院時(shí)患者營養(yǎng)不良發(fā)生率為6.17%（37/600），營養(yǎng)風(fēng)險(xiǎn)發(fā)生率為22.67%（136/600），營養(yǎng)不良患者營養(yǎng)風(fēng)險(xiǎn)發(fā)生率為100.00%，顯著高于無營養(yǎng)不良患者營養(yǎng)風(fēng)險(xiǎn)發(fā)生率（P<0.05）；男性患者營養(yǎng)風(fēng)險(xiǎn)發(fā)生率顯著低于女性（P<0.05）；老年患者營養(yǎng)風(fēng)險(xiǎn)發(fā)生率顯著高于非老年患者（P<0.05）；600例患者中行營養(yǎng)支持205例（34.17%），存在營養(yǎng)風(fēng)險(xiǎn)者營養(yǎng)支持率顯著高于不存在營養(yǎng)風(fēng)險(xiǎn)者（P<0.05）。 結(jié)論 結(jié)直腸癌患者營養(yǎng)不良、營養(yǎng)風(fēng)險(xiǎn)的發(fā)生率較高，尤其是老年女性患者；NRS2002是結(jié)直腸癌患者營養(yǎng)風(fēng)險(xiǎn)篩查的有效工具，可作為臨床制定營養(yǎng)支持方案的依據(jù)。
　　[關(guān)鍵詞] 結(jié)直腸癌；營養(yǎng)不良；營養(yǎng)風(fēng)險(xiǎn)；營養(yǎng)支持
　　[中圖分類號(hào)] R725.3 [文獻(xiàn)標(biāo)識(shí)碼] B [文章編號(hào)] 1673-9701（2018）08-0076-03
　　Risk factors of malnutrition and nutritional support in patients with colorectal cancer
　　JIANG Yiming YANG Xinmei ZHOU Qiang WANG Aifen XU Xiaofang
　　Department of Internal Medicine-Oncology，the First Hospital of Jiaxing in Zhejiang Province， Jiaxing 314000，China
　　[Abstract] Objective To investigate the risk factors of malnutrition and nutritional support in patients with colorectal cancer， in order to provide reference for clinical nutrition support. Methods 600 patients with colorectal cancer who received treatment in our hospital from October 2014 to September 2017 were selected by fixed-point continuous sampling method. Nutritional risk assessment was carried out using Nutritional Risk Screening 2002 （NRS2002） the next morning after admission. We analyzed the difference in nutritional risk according to gender and age， and the relationship between nutritional risk and nutritional support. Results A total of 600 patients were eolled and completed NRS with a 100.00% suitable rate of NRS2002. Malnutrition rate at admission were 6.17%（37/600） and incidence of nutritional risk was 22.67% （136/600）. Nutritional risk incidence in patients with malnutrition was 100.00%， which was significantly higher than patients without malnutrition（P<0.05）. Nutritional risk incidence was significantly lower in male than female（P<0.05） and higher in elderly than non-elderly patients（P<0.05）. There were 205 patients （34.17%） who had nutrition support in 600 patients， and nutritional support rate was significantly higher in those with nutritional risk than those without nutritional risk（P<0.05）. Conclusion Malnutrition and nutritional risk in patients with colorectal cancer are higher， especially in elderly women.NRS2002 is an effective tool for nutritional risk screening in patients with colorectal cancer，which can be used as a basis for clinical development of nutritional support.

相關(guān)熱詞搜索：營養(yǎng)不良 患者 危險(xiǎn) 因素 營養(yǎng)