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首页> 美国卫生研究院文献>American Journal of Translational Research >Application value of NRS2002 and PG-SGA in nutritional assessment for patients with cervical cancer surgery
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Application value of NRS2002 and PG-SGA in nutritional assessment for patients with cervical cancer surgery

机译：NRS2002和PG-SGA在宫颈癌手术患者营养评估中的应用价值

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Objective: This study explored and analyzed the application value of nutritional risk screening 2002 (NRS2002) and patient-generated subjective nutrition assessment (PG-SGA) in nutritional assessment for patients with cervical cancer surgery. Methods: A total of 165 cervical cancer patients that received elective cervical cancer surgery from February 2017 to December 2019 were chosen as the research subjects. NRS 2002 and PG-SGA were employed to evaluate the nutritional status of patients, and detect their nutrition-related laboratory examination indexes. By using albumin (ALB)≤30 g/L as the criterion of malnutrition, the accuracy of NRS2002 and PG-SGA in evaluating the nutritional status of patients was analyzed. Results: The differences between scores of NRS2002 and PG-SGA in age, BMI, tumor stage, pelvic lymph node metastasis were statistically significant (P<0.05); while the difference between scores of NRS2002 and PG-SGA in different education degree, pathological type and growth type of patients was statistically insignificant (P>0.05). By using ALB≤30 g/L as the gold standard to determine malnutrition, 64 malnourished patients were detected, with a detection rate of 38.79%. Compared with this gold standard, the judgment of NRS 2002 and PG-SGA have high consistency with the gold standard, and the Youden indexes were 0.550 and 0.795 respectively. In addition, the nutritional or malnutrition risk of cervical cancer patients was assessed by NRS2002 and PG-SGA, respectively. Among them, 33 patients received co-diagnosis, the results had remarkably correlation (P<0.05) with contingency coefficient r of 0.523. Conclusion: Both NRS2002 and PG-SGA are suitable for preoperative nutritional risk screening of patients with cervical cancer surgery. PG-SGA has a higher positive rate but poor time requirement than that of RS2002. Therefore, clinicians can choose the appropriate tool on the basis of an individual patient’s situation for nutritional assessment.
机译：目的：本研究探讨和分析的营养风险筛查2002（NRS2002）在营养评估宫颈癌患者手术中的应用价值和患者产生的主观营养评估（PG-SGA）。方法：共接受择期宫颈癌手术二月2017年至2019年165名月宫颈癌患者被选为研究对象。 NRS 2002和PG-SGA被雇用来评估患者的营养状况，并检测其营养相关的实验室检查指标。通过使用白蛋白（ALB）≤30克/升作为营养不良的标准，NRS2002和PG-SGA在评价患者的营养状态的精确度进行了分析。结果：在年龄NRS2002和PG-SGA分数之间的差异，BMI，肿瘤分期，淋巴结转移是统计学显著（P <0.05）;而在不同的教育程度，病理类型和患者的生长型NRS2002和PG-SGA的得分之间的差异具有统计学显着性（P> 0.05）。通过使用ALB≤30克/ L的金标准，以确定营养不良，检测到64名营养不良的患者，具有38.79％的检测率。这个黄金标准相比，2002年NRS和PG-SGA的判断有金标准高一致性，以及约登指数分别为0.550和0.795。此外，宫颈癌患者的营养或营养不良的风险分别NRS2002和PG-SGA，评估。其中，33名患者接受联合诊断，结果有显着的与应急0.523系数r相关性（P <0.05）。结论：NRS2002和PG-SGA适用于术前营养风险筛查宫颈癌患者手术。 PG-SGA具有较高的阳性率，但比RS2002的时间要求差。因此，临床医生可以选择个别病人的营养评估情况的基础上，适当的工具。

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