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非小细胞肺癌患者化疗后营养状况不佳的危险因素:横断面研究

Risk factors of poor nutrition in non-small cell lung cancer patients after chemotherapy: cross-sectional study.

作者信息

Wang Xiaohan, Qu Xiaodong

机构信息

Teaching and Research Section of Surgery, Henan Vocational College of Nursing, China.

Department of Clinical Laboratory, Anyang City People's Hospital, China.

出版信息

J Chemother. 2024 Sep 22:1-9. doi: 10.1080/1120009X.2024.2403183.

Abstract

This cross-sectional study aimed to analyze the associated factors of poor nutrition in non-small cell lung cancer (NSCLC) patients after chemotherapy. Concretely, 176 NSCLC patients who attended our hospital from June 2020 to December 2022 were enrolled. Standard-compliant patients were categorized into nutrition group ( = 38) and malnutrition group ( = 70) according to different nutrition statuses. Baseline characteristics and nutrition level were assessed. Associated factors of poor nutrition were analyzed by logistic regression analysis. There were obvious differences between nutrition group and malnutrition group in terms of age (P = 0.041), body mass index (BMI,  = 0.021), residence (P  = 0.023), per capita monthly income of family (P  = 0.023), tumor staging (P  = 0.017), Karnofsky (KPS) score (P  0.001), effect of chemotherapy (P  = 0.045), and nutrition support before chemotherapy only (P  = 0.023) and perichemotherapy (P = 0.011). The higher proportion of NSCLC patients was found in malnutrition group relative to nutrition group in terms of having poor nutritional cognition (67.14% vs. 47.37%, P  = 0.045), and lacking access to vitamins (65.71% vs. 44.74%, P  = 0.047) and trace elements (57.14% vs. 36.84%, P  = 0.044). BMI <18.5 (OR = 3.707, P = 0.007, 95% (1.434-9.586)), residence in village (OR = 3.426, P = 0.013, 95% (1.291-9.092)), and KPS score ≤70 (OR = 7.608, P < 0.001, 95% (2.842-20.367)) were associated factors for poor nutrition. Collectively, BMI, residence, and KPS score were associated factors of poor nutrition in NSCLC patients after chemotherapy.

摘要

本横断面研究旨在分析非小细胞肺癌(NSCLC)患者化疗后营养状况不佳的相关因素。具体而言,纳入了2020年6月至2022年12月在我院就诊的176例NSCLC患者。根据不同的营养状况,将符合标准的患者分为营养良好组(n = 38)和营养不良组(n = 70)。评估了基线特征和营养水平。通过逻辑回归分析营养状况不佳的相关因素。营养良好组和营养不良组在年龄(P = 0.041)、体重指数(BMI,P = 0.021)、居住地(P = 0.023)、家庭人均月收入(P = 0.023)、肿瘤分期(P = 0.017)、卡诺夫斯基(KPS)评分(P < 0.001)、化疗效果(P = 0.045)以及仅化疗前(P = 0.023)和化疗期间(P = 0.011)的营养支持方面存在明显差异。在营养不良组中,NSCLC患者营养认知差(67.14% vs. 47.37%,P = 0.045)、缺乏维生素(65.71% vs. 44.74%,P = 0.047)和微量元素(57.14% vs. 36.84%,P = 0.044)的比例高于营养良好组。BMI < 18.5(OR = 3.707,P = 0.007,95%(1.434 - 9.586))、居住在农村(OR = 3.426,P = 0.013,95%(1.291 - 9.092))和KPS评分≤70(OR = 7.608,P < 0.001,95%(2.842 - 20.367))是营养状况不佳的相关因素。总体而言,BMI、居住地和KPS评分是NSCLC患者化疗后营养状况不佳的相关因素。

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