Tian Min, Fu Huaping, Du Juan
Department of VIP Gynecology Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University Chengdu 610066, Sichuan, China.
Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education Chengdu 610066, Sichuan, China.
Am J Transl Res. 2021 Jun 15;13(6):7186-7192. eCollection 2021.
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.
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.
The differences between scores of NRS2002 and PG-SGA in age, BMI, tumor stage, pelvic lymph node metastasis were statistically significant (); while the difference between scores of NRS2002 and PG-SGA in different education degree, pathological type and growth type of patients was statistically insignificant (). 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 () with contingency coefficient r of 0.523.
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.
本研究探讨并分析营养风险筛查2002（NRS2002）和患者主观整体营养评估（PG-SGA）在宫颈癌手术患者营养评估中的应用价值。
选取2017年2月至2019年12月期间接受择期宫颈癌手术的165例宫颈癌患者作为研究对象。采用NRS 2002和PG-SGA评估患者营养状况，并检测其营养相关实验室检查指标。以白蛋白（ALB）≤30 g/L作为营养不良标准，分析NRS2002和PG-SGA评估患者营养状况的准确性。
NRS2002和PG-SGA评分在年龄、体重指数、肿瘤分期、盆腔淋巴结转移方面的差异具有统计学意义（）；而NRS2002和PG-SGA评分在患者不同学历、病理类型和生长类型方面的差异无统计学意义（）。以ALB≤30 g/L作为判定营养不良的金标准，共检测出64例营养不良患者，检出率为38.79%。与该金标准相比，NRS 2002和PG-SGA的判断与金标准具有较高的一致性，约登指数分别为0.550和0.795。此外，分别采用NRS2002和PG-SGA对宫颈癌患者的营养或营养不良风险进行评估。其中，33例患者接受联合诊断，结果具有显著相关性（），列联系数r为0.523。
NRS2002和PG-SGA均适用于宫颈癌手术患者术前营养风险筛查。PG-SGA的阳性率高于NRS2002，但时间要求较差。因此，临床医生可根据患者个体情况选择合适的工具进行营养评估。
