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| Investigation of nutritional risk screening and nutritional support status of patients with gastric cancer in perioperative period |
| GUO Fei1 WU Xueliang1 ZHANG Xiaoyang2 LI Minghui1 LYU Yanqin1 SUN Guangyuan1 HAN Lei1 XUE Jun1 |
1.Department of General Surgery, the First Affiliated Hospital of Hebei North University, Hebei Province, Zhangjiakou 075000, China;
2.Physical Examination Center, the First Affiliated Hospital of Hebei North University, Hebei Province, Zhangjiakou 075000, China |
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Abstract Objective To investigate the application and nutritional risk of preoperative nutritional support for gastric cancer patients, and to provide scientific methods and reasonable suggestions for perioperative nutritional support for gastric cancer patients. Methods From January 2017 to January 2019, a total of 138 patients with gastric cancer were selected from the Department of General Surgery, the First Affiliated Hospital of Hebei North University. Nutritional risk screening was performed using the nutrition risk screening 2002 (NRS2002), and the incidence of postoperative complications and perioperative nutritional support of enrolled patients were statistically analyzed. Results In this study, there were 24 cases of cardia cancer, 19 cases of gastric body cancer and 95 cases of gastric antrum cancer. The incidence of malnutrition was 29.17%, 10.53%, 16.84%, and the total incidence of nutritional risk was 50.00%, 42.11%, and 48.42%, respectively. Patients with gastric cancer of age ≥60 years, ASA grade (grade 3-4), stage T3-T4 had a higher incidence of malnutrition and increased nutritional risk than patients with gastric cancer of age < 60 years, ASA grade (grade 1-2) and stage T1-T2, and the differences were statistically significant (P ＜ 0.05). Both patients at nutritional risk (69.70%) and no nutritional risk (22.22%) were given nutritional support, parenteral nutrition is the main nutrition. Among patients with gastric cancer at nutritional risk, the incidence of complications in patients with auxiliary nutritional support was significantly reduced compared with those without nutritional support, and the difference was statistically significant (P ＜ 0.05). Conclusion The NRS2002 system can accurately assess the nutritional risk of patients with gastric cancer. For patients with nutritional risk, scientific and reasonable nutritional support and intervention should be given actively, so as to reduce the incidence of complications.
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