首页|不同营养状态对结直肠癌患者奥沙利铂化疗致周围神经毒性(OIPN)的影响

不同营养状态对结直肠癌患者奥沙利铂化疗致周围神经毒性(OIPN)的影响

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目的 探讨营养状态对结直肠癌患者发生奥沙利铂致周围神经毒性(OIPN)的影响.方法 选取2022年7月至2023年5月无锡市江南大学附属医院收治的219例结直肠癌患者,收集患者资料,运用SPSS 26.0对影响因素进行统计分析.结果 219例结直肠癌患者中有144例发生了 OIPN,作为OIPN组;75例没有发生OIPN,作为非OIPN组.Spearman分析显示两组患者并发症、营养风险筛查2002(NRS2002)评分、白蛋白、血红蛋白等指标差异有统计学意义(P<0.05);Logistic回归分析显示白蛋白与并发症是OIPN发生的独立危险因素,在此基础上构建Nomogram预测模型,为临床评估和预测OIPN发生提供新的方法和思路.结论 白蛋白水平低下与发生并发症是OIPN的独立危险因素,其中白蛋白水平与患者的营养状况密切相关,该预测模型对预测结直肠癌患者OIPN发生具有较好的临床应用价值.
Effect of different nutritional status on oxaliplatin-induced peripheral neurotoxicity(OIPN)in colorectal cancer patients
Objective To determine the effect of nutritional status on oxaliplatin-induced peripheral neurotoxicity(OIPN)in patients with colorectal cancer.Methods Totally 219 patients with colorectal cancer patients admitted to the Affiliated Hospital of Jiangnan University in Wuxi from July 2022 to May 2023 were selected.Patient data were collected,and the influencing factors were analyzed by SPSS 26.0.Results Peripheral neurotoxicity occurred in 144 of the 219 patients(the OIPN group),and the 75 patients did not have peripheral neurotoxicity(the non-OIPN group).Spearman analysis showed that comorbidity,NRS2002,albumin,and hemoglobin were significant(P<0.05).Logistic regression analysis showed that albumin and comorbidity were the independent risk factors for the occurrence of OIPN in colorectal cancer patients,on the basis of which the Nomogram prediction model was constructed to offer new ideas for clinical assessment and prediction of OIPN.Conclusion Low albumin level and occurrence of comorbidities are independent risk factors for OIPN in colorectal cancer patients treated with oxaliplatin.The albumin level is closely related to the nutritional status of patients.This prediction model has good clinical application value for predicting the occurrence of OIPN in patients with colorectal cancer.

oxaliplatinoxaliplatin-induced peripheral neurotoxicityNRS2002nutritional status

卞芸、丁永娟、谢芬、吕娟、陈杨、徐振宇

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江南大学附属医院,江苏 无锡 214000

奥沙利铂 奥沙利铂致周围神经毒性 营养风险筛查2002 营养状态

无锡市卫生健康委课题项目

T202215

2024

中南药学
湖南省药学会

中南药学

CSTPCD
影响因子:0.736
ISSN:1672-2981
年,卷(期):2024.22(1)
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