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目的掌握新疆某三甲医院肝癌住院患者的营养风险状况。方法选择2010年1-12月在新疆医科大学第一附属医院符合入选标准的286例肝癌患者,入院次日清晨采用营养风险筛查量表(NRS2002)进行营养风险状况调查。结果 286例肝癌患者有营养风险的发生率为60.84%(174/286),无营养风险发生率为39.16%(112/286)。营养风险与肿瘤分期无明显相关性(χ2=5.271,P=0.153)。有营养风险患者的住院天数和住院费用高于无营养风险患者。肝癌总体病死率为62.23%(178/286),有营养风险患者的病死率(68.02%)显著高于无营养风险患者病死率(53.57%)(χ2=5.883,P<0.05)。中位随访时间31个月,失访9例,随访率为96.85%。生存99例,死亡178例。结论肝癌患者中营养风险的发生率较高。
Objective To understand the nutrition risk of inpatients with liver cancer in a top three hospital in Xinjiang. Methods 286 cases of HCC who met the inclusion criteria at the First Affiliated Hospital of Xinjiang Medical University from January to December in 2010 were enrolled. Nutritional risk screening was conducted by NRS2002 on the morning of admission. Results The incidence of nutritional risk in 286 patients with liver cancer was 60.84% (174/286), and the incidence of nutritional risk was 39.16% (112/286). There was no significant correlation between nutritional risk and tumor stage (χ2 = 5.271, P = 0.153). Inpatients with nutritional risk have higher days of hospitalization and hospitalization than those without nutritional risk. The overall mortality of hepatocellular carcinoma was 62.23% (178/286). The mortality of patients with nutritional risk was significantly higher than that of non-nutritional risk patients (68.02% vs 53.57%, χ2 = 5.883, P <0.05). The median follow-up time was 31 months, 9 cases were lost and the follow-up rate was 96.85%. Survival in 99 cases, 178 deaths. Conclusion The incidence of nutritional risk in patients with liver cancer is high.