發(fā)布時(shí)間：2018-04-11 02:06

  本文選題：結(jié)直腸癌 + 營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查量表　； 參考：《中華醫(yī)院感染學(xué)雜志》2017年04期

【摘要】：目的篩查結(jié)直腸癌患者營(yíng)養(yǎng)風(fēng)險(xiǎn)并分析其對(duì)患者術(shù)后感染風(fēng)險(xiǎn)的影響,為降低術(shù)后感染提供依據(jù)。方法收集2008年1月-2016年6月醫(yī)院收治的結(jié)直腸癌患者206例,使用營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查量表(NRS 2002)對(duì)結(jié)直腸癌患者營(yíng)養(yǎng)風(fēng)險(xiǎn)進(jìn)行篩查,并根據(jù)NRS 2002將患者分為研究組(≥3分)和對(duì)照組(3分),其中研究組82例,對(duì)照組124例;主要觀察指標(biāo)為兩組患者術(shù)后總感染率和切口感染率。結(jié)果與對(duì)照組比較,研究組患者總感染率顯著增高(15.85%vs.3.23%,P=0.003);切口感染率顯著增高(8.54%vs.0.81%,P=0.015);另外研究組患者紅細(xì)胞(t=3.395)、白蛋白(t=3.352)、前白蛋白(t=5.834)、血紅蛋白(t=2.853)和BMI(t=4.124)水平顯著低于對(duì)照組(P0.05);單因素和多因素logistic回歸分析顯示術(shù)前NRS評(píng)分增加、BMI降低和白蛋白減少是結(jié)直腸癌患者術(shù)后感染的危險(xiǎn)因素(P0.05)。結(jié)論 NRS≥3分的結(jié)直腸癌患者術(shù)后感染率顯著增高,應(yīng)加強(qiáng)NRS≥3分的結(jié)直腸癌患者的腸內(nèi)營(yíng)養(yǎng)支持。
[Abstract]:Objective to screen the nutritional risk of colorectal cancer patients and analyze the influence of nutritional risk on postoperative infection risk in order to provide evidence for reducing postoperative infection.Methods 206 patients with colorectal cancer admitted in our hospital from January 2008 to June 2016 were screened for nutritional risk by using the nutritional risk screening scale (NRS 2002).According to NRS 2002, the patients were divided into two groups: the study group (鈮，

本文編號(hào)：1733933