【摘要】 目的调查住院肿瘤化疗患者的营养状况及其管理现状。方法对广州市5家医院400例住院肿瘤化疗患者进行营养现状调查,内容包括人口学资料、体质量、身高及营养管理情况。结果本组营养不良的总发生率为40.5%,其中轻度营养不足占12.7%,中度营养不足占6.8%,重度营养不足占3.3%,超重或肥胖占17.7%;重度营养不足、中度营养不足、轻度营养不足、营养正常、超重或肥胖患者营养管理率分别为15.4%、7.4%、0、13.4%和7.0%;营养正常的患者中,使用脂肪乳、氨基酸、维生素、白蛋白及血浆的概率分别为5.9%、20.6%、65.1%、4.2%和1.3%,而重度营养不良患者没有使用上述5种营养制品的概率分别为61.5%、46.2%、23.1%、92.3%和100%。结论住院肿瘤化疗患者营养不良发生率高,营养管理现状差,营养支持存在不合理性,需要基于循证的营养支持指南加以改善。更多还原

【Abstract】 Objective To explore the nutritional status and nutrition management of cancer inpatients undergoing chemotherapy.Methods A self-designed questionnaire including information of general demographic information, weight and height and nutrition management was used among 400 cancer inpatients undergoing chemotherapy who met the inclusion criteria from 5 hospitals in Guangzhou. Results The incidence of malnutrition was up to 40.5%, and that of mild, moderate and severe under-nutrition were12.7%,6.8% and 3.3%, respectively. While the incidence of overweight or obese was 17.7% and that of nutrition management among the mild, moderate and severe under-nutrition, and overweight or obese inpatients were 15.4%, 7.4%, 0, 13.4% and 7.0%, respectively; the utilization incidence of intralipid, amino acids, vitamin, albumin and blood plasma among inpatients with normal nutrition were 5.9 %,20.6%, 65.1%, 4.2% and 1.3% respectively, while severe under-nutrition inpatients that did not apply these accounted for 61.5 %,46.2%, 23.1%, 92.3% and 100% respectively. Conclusion A large proportion of cancer inpatients receiving chemotherapy is malnutrition but the nutrition management remains poor. Evidence-based nutrition support guideline is needed.更多还原