Application of NRS2002 nutritional risk screening in patients with newly diagnosed gastric cancer
HUANG Ling-li
Department of Pharmacy,Jiangsu Cancer Hospital,Jiangsu Institute of Cancer Research,the Affiliated Cancer Hospital of Nanjing Medical University,Jiangsu Province,Nanjing 210009,China
Abstract：Objective To evaluate the nutritional status of newly diagnosed gastric cancer patients,to explore the correlation between NRS2002 nutritional risk screening and outcome measurements,so as to guide nutritional treatment.Methods A total of 93 newly diagnosed gastric cancer patients from February to June 2018 were selected as the research objects in department of gastric surgery of a cancer specialist hospital from Nanjing City.NRS2002 was used for nutritional risk screening within 48 hours of admission.According to the NRS2002 score,they were divided into nutritional risk group(NRS2002 score ≥3 points)and non-nutritional risk group(NRS2002 score ＜3 points).At the same time,PG-PGA nutritional assessment classification and physical examination were performed,blood routine and biochemical indicators were tested,multi-frequency bioelectrical impedance analysis was used to detect body composition,and statistical analysis of the results was made.Results A total of 93 patients were enrolled in the group,of whom 47.31%were at nutritional risk.There was statistically significant difference in the PG-SGA grading distribution between the two groups(P＜0.05).The serum albumin,hemoglobin,skeletal muscle mass,intra-cellular water,fat free mass index,and skeletal muscle index in the nutritional risk group were lower than those in the non-nutritional risk group,and the differences were statistically significant(P＜0.05).There were no statistically significant differences in other indexes between the two groups(P＞0.05).Conclusion NRS2002 nutritional risk screening has great concordance in PG-SGA grades,serum albumin,hemoglobin,skeletal muscle index and other nutritional indicators.It is not only a reliable and rapid nutritional risk screening tool,but also can reflect nutritional status.Most of all,combining NRS2002 with these nutritional indexes can more accurately and comprehensively understand the nutritional status of patients and improve the prognosis of patients.
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