Nutritional Risk Screening For Gastric Cancer And The Investigation And Analysis Of The Nutritional Support Treatment

[Objective]In yunnan province tumor hospital always treated patients with gastric cancer were retrospectively investigated, Understand the tumor hospital of yunnan province nutritional risk and nutritional support in patients with gastric cancer, To regulate stomach nutritional risk screening and nutrition support treatment provide a reference basis.[Methods] This study on January1,1998to June30,2011in yunnan province tumor hospital within a division, colorectal cancer center, abdominal surgery, the second branch of hospitalized patients with nutritional risk screening for gastric cancer, and investigate nutritional support treatment.By NRS2002as a screening tool, screening of specific content includes:gastric cancer patients with disease status, nutritional status (including height, weight, albumin, etc.) and the age of three aspects, evaluation of nutritional risk. Nutritional risk judgment standard is:the NRS=3have nutritional risk, NRS<3can be divided into no nutritional risk.[Results]1、 This survey included320patients with gastric cancer,202cases of nutritional risk, accounting for63%; No nutritional risk in118cases, accounting for37%.2、 There was no statistically significant difference in gender and nutritional risk (P=0.149).3、Protein in202patients with<30g/L of the patients have28people,30g/L=protein<35g/L of the patients with49, protein of patients with=35g/L of the patients have125people.4、 In patients with nutritional risk of gastric cancer in202cases of BMI<18.5patients have68people, accounting for34%;18.5=BMI<20.5patients have80people, accounting for39%; BMI=20.5have54people, accounting for27%. Patients with nutritional risk in low body mass index proportion is higher, but also found nutritional risk patients with normal body mass index (BMI).5、 With nutritional risk of gastric cancer patients with different stages, difference have statistical significance (P=0.030).6、 With nutritional risk of gastric cancer patients aged<60, compared with aged=60, difference have statistical significance (P=0.009).7、 In302patients,202patients nutritional risk, did not implement the nutritional support treatment for87people, accounting for28%; Implementation of the nutritional support treatment for115people, accounting for35%;118no nutritional risk, did not implement the nutritional support treatment for107people, accounting for34%; Implementation of nutrition support therapy has11people, accounting for3%.8、 Nutritional risk of202gastric cancer patients114cases of the communist party of China has implemented the clinical nutritional support, accounted for39.4%, including the PN:EN:PN+EN109:4:2.[Conclusions]1、Gastric cancer were higher in hospitalized patients with nutritional risk and nutritional risk screening should be made for every patients with gastric cancer. Patients with nutritional risk in not necessarily protein has declined.2、Nutritional risk of gastric cancer patients serum albumin does not necessarily have decreased; Patients with nutritional risk of gastric cancer in low body mass index proportion is higher, but also found nutritional risk patients with normal body mass index (BMI).3、 Gastric cancer patients with nutritional risk has nothing to do with gender, age, the higher the incidence of patients with nutritional risk, the greater the incidence of patients with late stage nutritional risk is higher.4、 Nutrition support therapy remains to be improved, the rationality of the gastric cancer needs further promotion and application based on the evidence of evidence-based medicine in clinical nutrition support treatment guidelines in order to improve the situation.