老年食管癌化疗患者营养状况评价及饮食干预

摘要

目的：利用微型营养评定表（MNA）对老年食管癌化疗患者营养状况进行评价，并进行早期营养干预，评价其临床效果。方法采用 MNA 问卷对90例老年食管癌化疗患者进行评价，根据评价结果将患者分为2组：营养良好组、营养风险组及营养不良组，并对后2组患者进行针对性营养干预，分别在干预后第2、4周进行营养评价。结果不同时间3组指标比较差异均有统计学意义（P <0.05）。营养干预后，营养风险组和营养不良组 MNA 评分较入院时明显提高（P <0.05）。结论采用 MNA 评估老年食管癌化疗患者的营养状况并采取针对性饮食干预可明显改善其营养状况。%Objective To explore and utilize the mini nutritional assessment(MNA)scale to screen the nutri-tional status of elderly patients with esophageal cancer treated by chemotherapy and implement the early nutritional intervention,to evaluate the clinical effectiveness. Methods MNA questionnaire was used to screen 90 elderly pa-tients with esophageal cancer treated by chemotherapy and the patients were divided into three groups:the good nu-trition group,the nutritional risk group and the malnutrition group according to the screening results. The patients in the nutritional risk group and the malnutrition group were given targeted nutritional intervention,nutritional status of the patients was evaluated respectively in 2 and 4 weeks after nutritional intervention. Results The differences in the indicators of the different admission time among the three groups were statistically significant(P < 0. 05);the MNA scores in the nutritional risk group and the malnutrition group were significantly increased in 2 and 4 weeks after intervention,compared with those on admission(P <0. 05). Conclusion MNA and targeted dietary intervention can significantly improve the nutritional status of elderly patients with esophageal cancer treated by chemotherapy.