Investigation and analysis of perioperative nutritional status of ovarian cancer patients
Objective To analyze the preoperative and postoperative nutritional status of patients with ovarian cancer.Methods A total of 110 ovarian cancer patients admitted to the Department of Gynecology in our hospital from March 2020 to February 2022 were selected as the study objects.The preoperative and post-operative blood routine and biochemistry of all patients were measured,and prognostic nutritional index(PNI)was calculated according to serum albumin and lymphocyte counts.Results The average age of the study pop-ulation was 55.35 years old.The proportion of preoperative anemia in ovarian cancer patients was 27.27％,the proportion of mild anemia was 24.55％,the proportion of moderate anemia was 2.73％,the proportion of hypoproteinemia was 10.00％,the proportion of hypolipidemia was 2.73％,the proportion of hypocalcemia was 8.18％,and the proportion of hypokalemia was 4.55％.The proportion of hyponatremia was 6.36％.The proportion of postoperative anemia in ovarian cancer patients was 78.18％,43.64％,34.55％,76.36％,42.73％,16.36％,and 17.27％,respectively.The proportion of hypolipidemia was 30.91％,hypocalcemia 64.55％,hypokalemia 40.00％and hyponatremia 40.91％.The proportion of anemia,hypoproteinemia and hy-ponatremia before surgery in patients with pathological stage Ⅲ to Ⅳ were significantly higher than those with pathological stage Ⅰ to Ⅱ,and the differences were statistically significant(P＜0.05).Pearson correla-tion analysis suggested that PNI was correlated with postoperative hemoglobin,serum total protein,serum al-bumin,total cholesterol,low density lipoprotein cholesterol,high density lipoprotein cholesterol and blood cal-cium were correlated(r=0.491,0.557,0.395,0.273,0.442,0.389,P＜0.001),and there was no significant correlation with postoperative red blood cell count,fasting blood glucose,triglyceride,blood sodium and blood calcium(P＞0.05).Conclusion The incidence of malnutrition is high in ovarian cancer patients,especially in postoperative ovarian cancer patients.
NutritionOvarian cancerPrognostic nutritional index
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