本文選題：胃腸道惡性腫瘤　切入點：患者主觀整體評價(PG-SGA)　出處：《吉林大學(xué)》2016年碩士論文

【摘要】：目的:本研究運用患者主觀整體評價的調(diào)查問卷對胃腸道惡性腫瘤患者的營養(yǎng)狀態(tài)及營養(yǎng)支持情況進(jìn)行分析。方法:選取2015年5月至2016年6月期間在吉林省長春市吉林大學(xué)第一醫(yī)院就診的1019例胃腸道惡性腫瘤患者,患者的基本健康資料利用醫(yī)院病歷系統(tǒng)獲取,應(yīng)用患者主觀整體評價調(diào)查問卷對患者的6項營養(yǎng)現(xiàn)狀進(jìn)行評估,具體內(nèi)容包括:攝食狀況、活動、患者體格檢查、實驗室檢查指標(biāo)、營養(yǎng)支持情況以及隨訪患者于本次調(diào)查后30天內(nèi)的生存或死亡情況。調(diào)查和評估結(jié)果錄入至數(shù)據(jù)庫中,應(yīng)用SPSS20.0進(jìn)行相關(guān)統(tǒng)計分析。結(jié)果:1.本研究共納入1019例胃腸道惡性腫瘤患者(男性653例,女性366例)。經(jīng)PG-SGA營養(yǎng)狀況調(diào)查表評估可知:營養(yǎng)良好者332例(構(gòu)成比為32.58%),輕/中度營養(yǎng)不良者547例(構(gòu)成比為53.68%),重度營養(yǎng)不良者140例(構(gòu)成比為13.74%)。。2.本研究根據(jù)患者年齡將其分為非老年組((27)60歲)和老年組(≥60歲),老年組患者營養(yǎng)不良發(fā)生率(83.30%)高于非老年組患者(53.33%)。3.吸煙和飲酒均可導(dǎo)致患者營養(yǎng)不良的發(fā)生(p0.05)。4.家族腫瘤史對營養(yǎng)不良的發(fā)生有影響(p0.01)。5.腫瘤病灶轉(zhuǎn)移、腫瘤分期能影響患者營養(yǎng)不良的發(fā)生(p0.01)。6.患者所接受的放、化療治療方法和患者的活動能力均對患者營養(yǎng)情況有影響(p0.01)。7.經(jīng)PG-SGA定性評價并進(jìn)行統(tǒng)計學(xué)分析,隨著患者營養(yǎng)不良情況加劇,其單一營養(yǎng)指標(biāo)逐漸下降(p0.05)。結(jié)論:1.患者的年齡、吸煙與飲酒習(xí)慣、家族疾病史、病灶轉(zhuǎn)移情況、腫瘤分期、放化療治療方法和患者的活動能力都可能對患者的營養(yǎng)狀況產(chǎn)生影響。2..經(jīng)PG-SGA評估隨著患者營養(yǎng)狀況的惡化,臨床常用營養(yǎng)指標(biāo)(Alb、Hb、BMI、MAC、TSF、非利手握力、小腿最大周徑等)會表現(xiàn)為逐漸升高的趨勢,并且營養(yǎng)良好和營養(yǎng)不良患者間差異具有統(tǒng)計學(xué)意義。3.患者出現(xiàn)營養(yǎng)不良會影響其接受的營養(yǎng)支持方式、延長住院時間、降低患者生活質(zhì)量等。4.可應(yīng)用PG-SGA問卷及時對胃腸道惡性腫瘤患者營養(yǎng)狀況進(jìn)行評價,并且根據(jù)PG-SGA總得分為患者制定合理的營養(yǎng)支持方案。通過多角度、多種手段聯(lián)合治療改善患者營養(yǎng)現(xiàn)況及預(yù)后。
[Abstract]:Objective: to analyze the nutritional status and nutritional support of patients with gastrointestinal cancer by using the questionnaire of subjective overall evaluation. Methods: from May 2015 to June 2016 in Changchun, Jilin Province. A total of 1019 patients with gastrointestinal cancer in the first Hospital of Jilin University, The patient's basic health information was obtained by the hospital medical record system, and the subjective overall evaluation questionnaire was used to evaluate the nutritional status of the patient. The specific contents included: feeding status, activity, patient physical examination, Laboratory test indicators, nutritional support and survival or death status of follow-up patients within 30 days of this survey. Results of the survey and evaluation were entered into the database. Results: 1.A total of 1019 patients with gastrointestinal malignancy (male 653) were included in this study. The results of PG-SGA nutritional status questionnaire showed that there were 332 cases with good nutrition (composition ratio 32.58), 547 cases with mild / moderate malnutrition (composition ratio 53.68%), and 140 cases with severe malnutrition (composition ratio 13.7474% 路.2). The age of the patients was divided into two groups: the younger group (2760 years) and the elderly group (鈮，

本文編號：1661103