[1]陈颖君,卞晓洁,陈大宇,等.多学科联合营养测评在肝癌病人营养评估中的 价值和护理体会[J].肠外与肠内营养杂志,2020,(02):94-99.[doi:10.16151/j.1007-810x.2020.02.007]
　CHEN Ying-jun,BIAN Xiao-jie,CHEN Da-yu,et al.MDT evaluation and nursing experience of the combination nutrition assessment in liver cancer patients[J].PARENTERAL & ENTERAL NUTRITION,2020,(02):94-99.[doi:10.16151/j.1007-810x.2020.02.007]
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多学科联合营养测评在肝癌病人营养评估中的 价值和护理体会
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《肠外与肠内营养》杂志[ISSN:1007-810X/CN:32-1477/R]

卷:
期数:
2020年02期
页码:
94-99
栏目:
论著
出版日期:
2020-03-10

文章信息/Info

Title:
MDT evaluation and nursing experience of the combination nutrition assessment in liver cancer patients
作者:
陈颖君 1; 卞晓洁 2; 陈大宇 2; 凡银银 3; 徐 悦 1; 毛 谅 3; 仇毓东 3
南京大学医学院附属鼓楼医院，1.门诊部；2.药学部；3.肝胆胰中心，江苏南京 210008
Author(s):
CHEN Ying-jun1;  BIAN Xiao-jie2;  CHEN Da-yu2;  FAN Yin-yin3;  XU Yue1;  MAO Liang3;  QIU Yu-dong3
1. Outpatient Department；2. Department of medicine；3. Hepatobiliary and pancreatic center； Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008,Jiangsu,China
关键词:
NRS 2002 ; PG-SGA ; 肝癌 ; 肝切除 ; 临床结局 ; 营养风险筛查
Keywords:
NRS 2002;  PG-SGA;  Liver cancer;  Hepatectomy;  Clinical Outcomes;  Nutritional risk screening
分类号:
R735.7, R459.3
DOI:
10.16151/j.1007-810x.2020.02.007
文献标志码:
A
摘要:
目的：本研究探讨了NRS 2002和PG-SGA两种营养测评工具在肝癌肝切除病人围术期营养评估中 的价值，以及多学科团队（MDT）门诊护理团队的作用。 方法：在南京大学医学院附属鼓楼医院接受肝切除的95 例肝癌病人中，采用MDT门诊护士使用NRS 2002，外科病房临床营养药师使用PG-SGA的工作流程。比较了上述 两种方法，单独以及联合测评与病人术前的营养不良指标、围术期营养治疗后的改善，以及术后住院时间和术后并 发症的相关性。 结果：①与单独使用NRS 2002或PG-SGA比较，联合测评与病人术前营养不良指标更具相关性 （P<0.05）；②对比BMI和血清前白蛋白术前术后的变化值，联合测评筛查出的存在营养风险的病人从营养治疗中 的获益更大（P<0.05）；③与单独使用NRS 2002或PG-SGA比较，联合测评与病人术后住院时间及术后并发症更具 有相关性（P<0.05）。 结论：联合应用NRS 2002与PG-SGA营养测评可有效识别出存在营养风险的肝癌病人，对 制定合理有效的围术期营养支持策略具有很大的帮助，MDT门诊护士对肝癌病人营养风险的初筛和对后续精准的 营养评估具有重要意义。
Abstract:
Objective: This study explored the value of NRS 2002 and PG-SGA in perioperative nutritional assessment of liver cancer patients with hepatectomy, and the role of MDT outpatient nursing team. Methods: Total 95 cases of liver cancer patients undergoing hepatectomy in Nanjing Drum Tower Hospital were enrolled. NRS 2002 werewas used by MDT out-patient nurses and PG-SGA was used by clinical nutritionists in surgical wards. We compared the two methods, individually and in combination, with preoperative indexes of malnutrition, perioperative benefit after nutritional therapy, and postoperative hospital stay and postoperative complications. Results: ① Compared with NRS 2002 or PG-SGA alone, the combined assessment was more correlated with preoperative malnutrition indexes of patients (P < 0.05). ②Compared with the preoperative and postoperative changes of BMI and serum prealbumin, the patients with nutritional risk screened in the combined assessment benefited more from nutritional therapy (P < 0.05). ③ Compared with NRS 2002 or PG-SGA alone, combined assessment was more correlated with postoperative hospital stay and postoperative complications of patients (P < 0.05). Conclusions: The combined application of NRS 2002 and PG SGA nutrition assessment can effectively identify liver cancer patients with nutritional risk, which is of great help for the formulation of reasonable and effective perioperative nutrition support strategies. The initial screening for the nutritional risk of liver cancer patients by MDT outpatient nurses is of great significance for the follow-up accurate nutritional assessment.

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备注/Memo

备注/Memo:
基金项目 ：江苏省科教强卫工程医学重点人才（No：ZDRCA2016057）；南京大学医学院附属鼓楼医院2016年护理科研项目（No：ZSH126）； 国家自然科学基金（项目批准号：81470866） 作者简介 ：陈颖君，主管护师，护理本科，从事肝癌护理专业。E-mail:13951820207@163.com 通讯作者 ：仇毓东，E-mail:yudongqiu510@163.com
更新日期/Last Update: 1900-01-01