论文部分内容阅读
目的:探讨营养风险筛查(NRS2002)在胰腺癌患者术前营养风险筛查中的应用效果。方法:应用NRS2002对74例胰腺癌手术患者进行营养风险筛查,并以血清白蛋白和前白蛋白作为标准,评价其敏感性和特异性。观察NRS2002筛查出营养不良患者的手术并发症发生率及平均住院天数,与无营养不良风险的患者进行比较。结果:以前白蛋白为标准,NRS2002的敏感性为58.3%,特异性为86.0%;以白蛋白为标准,NRS2002的敏感性为66.7%,特异性为93.6%;NRS评分≥3分术后并发症的总发生率高于NRS评分<3分者,其中腹腔感染并发症发生率显著增高,并且平均住院时间较NRS评分<3分者长(P<0.05)。结论:应用NRS2002对胰腺癌患者营养风险筛查简便易行,具有较高的特异性和准确性以及敏感性,能够作为胰腺癌营养不良的筛查工具之一。
Objective: To investigate the effect of nutritional risk screening (NRS2002) on nutritional risk screening in patients with pancreatic cancer before surgery. Methods: A total of 74 patients with pancreatic cancer were screened for nutritional risk using NRS2002. Serum albumin and prealbumin were used as criteria to evaluate their sensitivity and specificity. Observe the incidence of NRS2002 malnutrition patients screening surgery and the average number of hospital stay, with no risk of malnutrition patients were compared. Results: In the past, the sensitivity and specificity of NRS2002 were 58.3% and 86.0%, respectively. The sensitivity and specificity of NRS2002 were 66.7% and 93.6% respectively with albumin as standard. The NRS score was ≥3 points after operation The overall incidence of disease was higher than those with NRS scores <3, with a significantly higher incidence of complications of abdominal infection and longer mean length of stay than those with NRS <3 (P <0.05). Conclusion: The application of NRS2002 in pancreatic cancer patients with nutritional risk screening is simple and easy, with high specificity and accuracy and sensitivity, as a screening tool for malnutrition in pancreatic cancer.