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目的调查及比较鼻咽癌患者同步放化疗前后营养风险、营养不足的发生率,为鼻咽癌患者实施营养干预提供临床依据。方法 60例拟行同步放化疗的初治鼻咽癌患者,于入院后第2 d和同步放化疗后第14 d利用营养风险筛查2002(NRS2002)和主观全面评定法(SGA)进行营养筛查。比较同步放化疗前后,鼻咽癌患者营养风险、营养不足发生率等的变化。结果鼻咽癌患者入院时营养风险及营养不足发生率分别为38.33%及31.67%,同步放化疗后14d分别为76.67%、71.67%;鼻咽癌患者同步放化疗后营养风险及营养不足发生率比同步放化疗前明显增高,差异有统计学意义(P均<0.05)。结论鼻咽癌患者同步放化疗前即有部分存在营养风险及营养不足,同步放化疗后营养风险及营养不足的发生率明显增高,应于同步放化疗前后对存在营养风险及营养不足的鼻咽癌患者进行合理的营养支持。
Objective To investigate and compare the incidence of nutritional risk and malnutrition in patients with nasopharyngeal carcinoma before and after concurrent chemoradiotherapy and provide a clinical basis for the implementation of nutritional intervention in patients with nasopharyngeal carcinoma. Methods Sixty patients with nasopharyngeal carcinoma who underwent concurrent chemoradiotherapy were enrolled in this study. Nutritional screening 2002 (NRS2002) and subjective assessment (SGA) were performed on the 14th day after admission and on the 14th day after concurrent chemoradiation. check. Before and after concurrent chemoradiotherapy, patients with nasopharyngeal carcinoma nutritional risk, the incidence of malnutrition and other changes. Results The incidence of nutritional risks and nutritional deficiencies in patients with nasopharyngeal carcinoma were 38.33% and 31.67%, respectively, and 76.67% and 71.67% respectively after 14 days of concurrent chemoradiotherapy. The incidence of nutritional risk and malnutrition in patients with nasopharyngeal carcinoma after concurrent chemoradiation Than before concurrent chemoradiotherapy was significantly higher, the difference was statistically significant (P all <0.05). Conclusions There are some nutritional risks and nutritional deficiencies in patients with nasopharyngeal carcinoma before concurrent chemoradiotherapy. The incidence of nutritional risks and malnutrition after concurrent chemoradiotherapy is significantly increased. Nasopharyngeal carcinoma should be treated before and after concurrent chemoradiotherapy. Cancer patients with reasonable nutritional support.