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目的研究并比较在肺癌患者术后并发症的评估方面,主观全面评价法(SGA)和微型营养评价法(MNA)的价值。方法选取某院胸外科2015年4月-2016年3月住院的110例肺癌患者,所有患者应用SGA和MNA两种营养评价方法进行术前营养评估,并将其分成营养正常(无营养风险)组与营养不良(营养风险)组,同时在术后并发症的发生率方面进行比较。结果根据SGA评价显示,术前营养正常者、中度营养不良者、重度营养不良者的术后并发症的发生率分别为12.24%(6/49)、24.39%(10/41)和50.00%(10/20),差异有统计学意义,P<0.05;MNA评价提示,术前营养正常组、潜在营养不良组和营养不良组的术后并发症的发生率分别为13.95%(6/43)、22.86%(8/35)和37.50%(12/32),差异有统计学意义,P<0.05。在预测肺癌术后并发症的敏感性方面,SGA评分高于MNA评分;而在特异性方面,两者基本相似。结论在评价肺癌患者术后并发症的方法中,SGA和MNA评分均为简单有效的方法;与MNA评分相比,SGA评分敏感性更高。
Objective To study and compare the value of Subjective Comprehensive Evaluation (SGA) and Micronutrient Evaluation (MNA) in the assessment of postoperative complications in patients with lung cancer. Methods A total of 110 patients with lung cancer hospitalized from April 2015 to March 2016 in a thoracic surgery hospital were enrolled in this study. All patients were evaluated with preoperative nutritional assessment by SGA and MNA. The patients were divided into normotensive (no nutritional risk) Group with malnutrition (nutritional risk) group, and compared the incidence of postoperative complications. Results According to SGA evaluation, the incidences of postoperative complications were 12.24% (6/49), 24.39% (10/41) and 50.00% respectively in patients with normal nutrition, moderate malnutrition and severe malnutrition (P <0.05). The MNA evaluation indicated that the incidences of postoperative complications in the normal nutrition group, latent malnutrition group and malnourished group were 13.95% (6/43 ), 22.86% (8/35) and 37.50% (12/32) respectively, the difference was statistically significant, P <0.05. In predicting the postoperative complications of lung cancer, the SGA score was higher than the MNA score, whereas in terms of specificity, the two were similar. Conclusion SGA and MNA scores are simple and effective in evaluating the postoperative complications of patients with lung cancer. SGA score is more sensitive than MNA score.