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目的研究老年膀胱癌患者手术后营养现状,探讨其与癌因性疲乏(CRF)的相关性,为提高老年膀胱癌患者手术后的营养水平与生活质量提供科学依据。方法 2014年1月—2015年2月收集武汉地区老年膀胱癌患者245例作为研究对象,营养风险评价采用营养风险筛查-2002(Nutritional Risk Screening 2002,NRS-2002),CRF评价采用癌症疲乏量表(Cancer Fatigue Scale,CFS)。结果老年膀胱癌患者NRS-2002平均得分为2.69±1.98,存在营养风险的有96人,NRS-2002均值为4.89±1.15;无营养风险的有149人,NRS-2002均值为1.27±0.69。不同性别老年膀胱癌患者营养风险发生率差异无统计学意义(P>0.05),不同病理分级老年膀胱癌患者营养风险发生率差异有统计学意义(P<0.05);老年膀胱癌患者CFS得分均值为18.41±9.76,躯体疲乏维度得分均值为8.19±6.16,情感疲乏维度得分为6.04±4.16,认知疲乏维度得分为4.18±3.70,不同年龄段老年膀胱癌患者CFS得分差异具有统计学意义(P<0.01)。结论老年膀胱癌患者营养风险发生率较高,医务人员应通过营养评价制定科学规范的营养支持计划,改善患者营养水平,减轻疲乏。
Objective To study the nutritional status of elderly patients with bladder cancer after operation and to explore its relationship with cancer-related fatigue (CRF), so as to provide a scientific basis for improving nutritional status and quality of life of elderly patients with bladder cancer. Methods From January 2014 to February 2015, 245 elderly patients with bladder cancer in Wuhan area were enrolled in this study. Nutritional risk assessment was conducted using Nutritional Risk Screening 2002 (NRS-2002). CRF was assessed by the amount of cancer fatigue Cancer Fatigue Scale (CFS). Results The average score of NRS-2002 in elderly patients with bladder cancer was 2.69 ± 1.98. There were 96 nutritional risks and the average NRS-2002 was 4.89 ± 1.15. There were 149 people without nutritional risk and the mean NRS-2002 was 1.27 ± 0.69. There was no significant difference in the nutritional risk among different ages of bladder cancer patients (P> 0.05). The incidence of nutritional risk in elderly patients with different stages of bladder cancer was significantly different (P <0.05). The mean of CFS scores in elderly patients with bladder cancer (18.41 ± 9.76), mean body fatigue score (8.19 ± 6.16), emotional fatigue dimension score (6.04 ± 4.16), and cognitive fatigue dimension score (4.18 ± 3.70). The difference of CFS scores among the elderly patients with bladder cancer was statistically significant (P <0.01). Conclusion The incidence of nutritional risk in elderly patients with bladder cancer is high. Medical staff should formulate a scientific and standardized nutrition support plan through nutrition evaluation so as to improve patients’ nutritional level and reduce fatigue.