摘要
目的 应用患者主观营养评估法（PG-SGA）评估胃癌患者术前营养状况,观察其对我国胃癌患者的适用性及分析与患者术后结局的关系.方法 对87例可手术治疗的胃癌患者应用PG-SGA进行术前营养评估,分析其与术后并发症、生存率及住院时长的关系.结果 本组可以应用PG-SGA进行营养评估的患者人数占总人数的100％.术前中/重度营养不良者37例（39.1％）.术前中/重度营养不良组和无/轻度营养不良组术后总体并发症发病率分别为52.9％和5.7％（P＜0.01）,PG-SGA预测术后并发症的灵敏度和特异度分别为85.7％和75.8％.应用多元Logistic回归分析证实,PG-SGA评分是术后并发症的独立危险因素（P＜0.01）.术前中/重度营养不良组和无/轻度营养不良组平均住院天数分别为（21 ±6）d和（16±4）d（P＜0.01）.结论 按照PG-SGA评分,术前中/重度营养不良患者术后更容易发生并发症及住院天数延长,因此对这类患者术前给予适当的营养支持显得格外重要.
Objective To evaluate the preoperative nutritional status of patients with gastric cancer by using patient-generated subjective global assessment （PG-SGA） its relationship with postoperative results.Methods Make a preoperative nutrition assessment by using PG-SGA for 87 patients with gastric carcinoma who can be treated with operation.Analyze the effects of the postoperative complication,survival rate and the hospitalization time on patients.Results The number of patients of this group who can process the preoperative nutrition assessment by using PG-SGA accounts for 100% of the total.There are 37 patients with moderate or severe malnutrition before operation （account for 39.1%）.The complication incidence of patients with moderate or severe malnutrition before operation and the patients with no or mild malnutrition are 52.9% and 5.7% separately （P 〈 0.01）.The sensitivity and specificity of PG-SGA score for predicting complications are 85.7% and 75.8% respectively.And we should implement the analysis of regression to verify that the PG-SGA grade is the independent risk factor of postoperative complication by applying multiple Logistic（P 〈 0.01）.The average hospital stays of patients with moderate or severe malnutrition before operation and the patients with no or mild malnutrition are （21 ± 6） d and （16 ± 4） d separately （P 〈 0.01）.Conclusion According to the PC-SCA results,patients with moderate or severe malnutrition before operation have increased susceptibility to complication and the extension of hospital stays after the operatiou.Therefore,it is important to supply the proper nutrition support to these patients.
出处
《国际外科学杂志》
2015年第10期654-658,共5页
International Journal of Surgery
基金
山西省卫生计生委科研课题资助项目（No.2014022）
关键词
胃肿瘤
营养状况
手术后并发症
Stomach neoplasms
Nutritional status
Postoperative complications
作者简介
通信作者：张燕忠，Email：Understand0101@126．com
