首页|老年肺癌患者预后营养指数与术后康复的相关性研究

老年肺癌患者预后营养指数与术后康复的相关性研究

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目的:了解老年肺癌患者预后营养指数(Prognostic nutritional index,PNI)与术后康复现状,并探讨两者相关性,为加速老年肺癌患者术后康复提供参考依据.方法:采用便利抽样法,选取2021年6月至2022年2月宁夏某三级甲等医院普胸外科符合纳入排除标准的130例老年肺癌患者作为研究对象,收集患者PNI及术后康复指标.比较高PNI组与低PNI组患者一般资料、临床病理特征,分析PNI及术后康复现状并探讨两者相关性.结果:老年肺癌患者PNI得分为(48.61±4.90)分;不同PNI组老年肺癌患者在年龄、学历、职业状态方面存在差异(P<0.05);老年肺癌患者PNI与术后第1天日常生活活动能力呈正相关,与术后日均引流液量呈负相关,差异具有统计学意义(P<0.05).结论:老年肺癌患者PNI处于营养不良水平,高龄、低学历、无业或退休状态的老年患者是术前营养不良的主要人群;PNI可在一定程度上预测老年肺癌患者术后自理能力及日均引流量,建议临床医护人员将其作为预测患者术后康复的参考指标并进行应用,从而加速患者术后康复.
Correlation between prognostic nutritional index and postoperative rehabilitation in elderly patients with lung cancer
Objective:To understand the prognostic nutritional index(PNI)and postoperative rehabilitation status of elderly patients with lung cancer,and to explore the correlation between them,in order to provide reference for accelerating postoperative rehabilitation.Methods:Convenience sampling method was used to select 130 elderly lung cancer patients who met the inclusion and exclusion criteria in the general thoracic surgery department of a Class A tertiary hospital in Ningxia from June 2021 to February 2022.PNI,postoperative recovety and other indicators were collected.The general data and clinic pathological characteristics of patients in the high PNI group and the low PNI group were compared to analyze the status of PNI and postoperative rehabilitation and explore their correlation.Results:PNI score of elderly lung cancer patients was 48.61±4.90.There were differences in age,educational background and occupational status of elderly lung cancer patients in different PNI groups(P<0.05).In elderly lung cancer patients,PNI was positively correlated with ADL on the first day after surgery,and negatively correlated with postoperative daily drainage volume(P<0.05).Conclusion:The PNI of elderly lung cancer patients was at the level of malnutrition.The elderly patients with advanced age,low education level,and unemployed or retired were more prone to preoperative malnutrition.PNI can predict postoperative self-care ability and daily drainage fluid volume of elderly lung cancer patients to a certain extent.It is suggested that clinical medical staff can use PNI as a reference index for predicting postoperative rehabilitation of elderly patients with lung cancer,so as to accelerate their postoperative rehabilitation.

The elderlyLung cancerPostoperative rehabilitationPrognostic nutritional index

路露、李春阳、芦鸿雁、雷新宁、郭永合

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宁夏医科大学总医院,宁夏银川 750004

老年人 肺癌 术后康复 预后营养指数

宁夏回族自治区重点研发计划宁夏医科大学科学研究项目

2022BEG03092XM2020163

2024

天津护理
天津市中心妇产科医院 天津护理学会 天津医科大学护理学院

天津护理

影响因子:0.718
ISSN:1006-9143
年,卷(期):2024.32(2)
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