胃肠道肿瘤患者相位角及其与营养状况的相关性研究
The phase angle in patients with gastrointestinal tumors and its correlation with nutritional status
程婉蓉 1张凤凤 1孙志昂 1闵寒 2朱彦博1
作者信息
- 1. 苏州大学附属第一医院肿瘤科,江苏 215000
- 2. 苏州市立医院消化内科
- 折叠
摘要
目的:探讨胃肠道恶性肿瘤患者相位角(phase angle,PA)与营养风险及营养不良的相关性,并分析其影响因素.方法:采用随机抽样方式收集 2022 年 10 月—2023 年 3 月在苏州大学附属第一医院肿瘤科收治的胃肠道肿瘤 51例患者的临床资料,采用营养风险筛查 2002 量表(nutrition risk screening 2002,NRS 2002)进行营养风险筛查及患者主观整体评估量表进行营养评估;使用CAMRY便携式握力计测量非利手握力;利用生物电阻抗技术进行人体各项指标测量.结果:诊断有营养风险的PA截断值为 4.85°,当PA<4.85°时,患者有营养风险的可能性较大.低PA组有营养风险患者的比例(90.9%)显著高于高 PA 组(27.5%);多因素分析结果显示 BMI、白蛋白、非利手握力是 PA 的影响因素(P<0.05).结论:PA是反映胃肠道肿瘤患者是否有营养风险的有效指标,PA的影响因素分析结果为临床营养风险筛查提供新的思路.
Abstract
Objective:To investigate the correlation between phase angle(PA)and nutritional risks and malnutrition in patients with gastrointestinal malignancies,and to analyze the influencing factors.Methods:The general and clinical data of 51 patients with gastrointestinal tumors admitted to the Oncology Department of First Affiliated Hospital of Soochow University from October 2022 to March 2023 were collected by random sampling.Nutrition risk screening 2002(NRS 2002)was used for nutrition screening and patient subjective global assessment scale was used for nutrition evaluation.Non-hand grip strength was measured by a CAMRY portable gripmeter.The bioelectrical impedance technology was used to measure the indicators of human body.Results:The cut-off value of PA for the diagnosis of nutritional risk was 4.85°.When PA was less than 4.85°,the patients were more likely to have nutritional risk.The proportion of patients with nutritional risk in low PA group(90.9%)was significantly higher than that in high PA group(27.5%).The results of multivariate analysis showed that BMI,albumin and non-dominant grip strength were the influencing factors of PA(P<0.05).Conclusion:PA is an effective indicator to reflect the nutritional risk of patients with gastrointestinal tumors.The analysis results of influencing factors of PA provide a new idea for clinical nutritional risk screening.
关键词
胃肠道恶性肿瘤/相位角/营养风险筛查/营养评估Key words
gastrointestinal malignancy/phase angle/nutritional risk screening/nutrition evaluation引用本文复制引用
基金项目
苏州市姑苏卫生人才科研项目(GSWS2021041)
出版年
2024
NETL
NSTL
万方数据