[1]陈 曦,康 婷,黄佳敏,等.三种营养筛查与评估工具在非霍奇金淋巴瘤病人中的应用评估[J].肠外与肠内营养杂志,2022,(02):80-84.[doi:10.16151/j.1007-810x.2022.02.004]
　CHEN Xi,KANG Ting,HUANG Jia-min,et al.Evaluation of three nutrition screening and assessment tools in patients with non-Hodgkin's lymphoma[J].PARENTERAL & ENTERAL NUTRITION,2022,(02):80-84.[doi:10.16151/j.1007-810x.2022.02.004]
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三种营养筛查与评估工具在非霍奇金淋巴瘤病人中的应用评估
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《肠外与肠内营养》杂志[ISSN:1007-810X/CN:32-1477/R]

卷:
期数:
2022年02期
页码:
80-84
栏目:
论著
出版日期:
2022-03-10

文章信息/Info

Title:
Evaluation of three nutrition screening and assessment tools in patients with non-Hodgkin's lymphoma
作者:
陈 曦1; 康 婷1; 黄佳敏 1; 吕全军1; 2
1.郑州大学公共卫生学院，河南郑州 450001；2.郑州大学第一附属医院营养科，河南郑州 450052
Author(s):
CHEN Xi1;  KANG Ting1;  HUANG Jia-min1;  L? Quan-jun1; 2
1. Department of Public Health, Zhengzhou University, Zhengzhou 450001, Henan, China；2. Department of Nutrition, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan, China
关键词:
营养不良 ; 营养风险筛查 ; 营养评估 ; 全球领导人营养不良倡议 ; 非霍奇金淋巴瘤
Keywords:
Malnutrition;  Nutritional risk screening;  Nutritional assessment;  Global Leadership Initiative on malnutrition;  Non-Hodgkin lymphoma
分类号:
R459.3
DOI:
10.16151/j.1007-810x.2022.02.004
文献标志码:
A
摘要:
目的：评估营养风险筛查2002（NRS 2002），营养不良通用筛查工具（MUST）以及患者整体主观评估（PG-SGA）与全球营养领导人发起的营养不良诊断标准（GLIM）的一致性，探究较为适合非霍奇金淋巴瘤（NHL）病人的营养筛查与评估工具。 方法：选取2020年7月至2021年6月在郑州大学第一附属医院住院治疗的200例NHL病人。使用NRS 2002、MUST以及PG-SGA三种方法对每个研究对象进行营养筛查与评估，以GLIM为金标准进行营养不良诊断，计算营养不良患病率，并评估其余三种工具的诊断价值。 结果：在 GLIM 标准下，93 名NHL 病人存在营养不良，营养不良患病率为 46.5%。PG-SGA 的灵敏度最高，为 97.8%；MUST 的特异度最高，为86.0%；NRS 2002的正确指数最高，为0.732。NSR 2002与GLIM的一致性（Kappa = 0.730，P < 0.001）和曲线下面积（0.866）均高于PG-SGA和MUST。 结论：NHL病人营养不良患病率较高，可以首选NRS 2002作为NHL病人的营养筛查工具。
Abstract:
Objective: To assess the consistency of the Nutritional Risk Screening 2002 (NRS 2002), the Malnutrition Universal Screening Tool (MUST) and the Patient-generated Subjective Global Assessment (PG-SGA) with the Global Leadership Initiative on Malnutrition (GLIM) criteria, and to investigate the optimal nutritional screening and assessment tools for NHL patients. Methods: A total of 200 NHL patients hospitalized in the First Affiliated Hospital of Zhengzhou University from July 2020 to Jane 2021 were investigated. Using NRS 2002, MUST and PG-SGA to screen and assess nutrition GLIM was used as the gold standard for malnutrition, the prevalence of malnutrition was calculated and the diagnostic capacity of the other three tools was evaluated. Results: According to the GLIM criteria, 93 NHL patients were malnourished, and the prevalence of malnutrition was 46.5%. PG-SGA had the highest sensitivity (97.8%); MUST had the highest specificity (86.0%); NRS 2002 had the highest Youden index, which was 0.732. The consistence between NSR 2002 and GLIM (Kappa = 0.730, P < 0.001) and the area under the curve (0.866) were higher than those of PG-SGA and MUST. Conclusions: The prevalence of malnutrition in NHL patients was relatively high, and NRS 2002 could be the first choice as a nutritional screening tool for NHL patients.

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备注/Memo

备注/Memo:
基金项目 ：国家自然科学基金（81673165） 作者简介 ：陈 曦，公共卫生硕士研究生，主要从事恶性肿瘤病人营养支持临床研究。E-mail: mphcx@gs.zzu.edu.cn 通讯作者 ：吕全军，E-mail: lvquanjun666@163.com
更新日期/Last Update: 1900-01-01