|本期目录/Table of Contents|

[1]徐欣轶,薛 蓓,蒋 莉,等.NRI联合CFS评分对肺癌术后机械通气的预测分析[J].中华肺部疾病杂志,2023,(03):358-360.[doi:10.3877/cma.j.issn.1674-6902.2023.03.013 ]
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NRI联合CFS评分对肺癌术后机械通气的预测分析(PDF)

《中华肺部疾病杂志》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2023年03期
页码:
358-360
栏目:
临床研究
出版日期:
2023-06-20

文章信息/Info

Title:
-
作者:
徐欣轶; 薛 蓓; 蒋 莉; 陈 慧
200030 上海,上海市胸科医院/上海交通大学医学院附属胸科医院
Author(s):
-
关键词:
支气管肺癌;  营养风险指数;  体力虚弱量表;  术后机械通气
Keywords:
-
分类号:
R563
DOI:
10.3877/cma.j.issn.1674-6902.2023.03.013
摘要:
目的 分析营养风险指数(nutritional risk index, NRI)联合体力虚弱量表(combined physical frailty scale, CFS)评分对肺癌患者术后机械通气的预测意义。方法 选取2020年1月至2022年12月我院收治的肺癌手术患者110例,根据NRI和CFS评分为营养好/体力好组28例,营养好/体力差组26例,营养差/体力好组30例,营养差/体力差组26例,分析术后机械通气危险因素,NRI联合CFS评分预测肺癌术后机械通气的评估。结果 每组性别、年龄以及吸烟史比较无统计学差异(P>0.05)。每组BMI值高,分别为(25.2±4.1 vs. 19.2±5.1,22.3±3.6 vs. 20.3±5.1),白蛋白水平高(36.7±3.2 vs. 26.5±3.9,34.3±4.6 vs. 24.3±3.2),P<0.05。每组术后呼吸机使用率从高到低依次为营养差/体力差组、营养好/体力差组、营养差/体力好组、营养好/体力好组(P<0.05)。多因素Logistic回归分析显示,BMI和白蛋白水平不是术后机械通气危险因素(P>0.05),NRI评分和CFS评分是术后机械通气的危险因素(P<0.05)。ROC曲线分析显示NRI评分联合CFS评分预测肺癌术后机械通气的AUC为0.921,高于NRI评分单独检测(AUC=0.661)和CFS评分单独检测(AUC=0.884)。结论 NRI评分和CFS评分是肺癌术后机械通气危险因素。NRI评分和CFS评分联合评估提高患者术后是否需机械通气的预测意义。
Abstract:
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参考文献/References:

1 王洪武, 金发光. 晚期非小细胞肺癌多域整合治疗策略[J/CD]. 中华肺部疾病杂志(电子版), 2022, 15(4): 457-461.
2 钱桂生. 肺癌不同病理类型发病率的变化情况及其原因[J/CD]. 中华肺部疾病杂志(电子版), 2011, 4(1): 1-6.
3 Digant Gupta, Christopher G Lis. Pretreatment serum albumin as a predictor of cancer survival: a systematic review of the epidemiological literature[J]. Nutr J, 2010, 9: 69.
4 张 晨. 初治晚期肺癌患者155例营养状况调查分析[J]. 陕西医学杂志, 2008, 401(11): 1532-1533.
5 Lee W Jones, Neil D Eves, Bercedis L Peterson, et al. Safety and feasibility of aerobic training on cardiopulmonary function and quality of life in postsurgical nonsmall cell lung cancer patients: a pilot study[J]. Cancer, 2008, 113(12): 3430-3439.
6 Nur Adilah Shuhada Abd Aziz, Nur Islami Mohd Fahmi Teng, Mazuin Kamarul Zaman. Geriatric Nutrition Risk Index is comparable to the mini nutritional assessment for assessing nutritional status in elderly hospitalized patients[J]. Clin Nutr ESPEN, 2019, 29: 77-85.
7 Sophie Church, Emily Rogers, Kenneth Rockwood, et al. A scoping review of the clinical frailty scale[J]. BMC Geriatr, 2020, 20(1): 393.
8 Jang JH, Kim T, Yeo HJ, et al. Impact of nutrition and physical activity on outcomes of hospital-acquired pneumonia[J]. Scientific reports, 2022, 12(1): 15605.
9 中华人民共和国国家卫生健康委员会. 原发性肺癌诊疗规范(2018年版)[J]. 肿瘤综合治疗电子杂志, 2019, 5(3): 100-120.
10 Emad F Aziz, Fahad Javed, Balaji Pratap, et al. Malnutrition as assessed by nutritional risk index is associated with worse outcome in patients admitted with acute decompensated heart failure: an ACAP-HF data analysis[J]. Heart Int, 2011, 6(1): e2.
11 Rockwood K, Theou O. Using the clinical frailty scale in allocating scarce health care resources[J]. Can Geriatr J, 2020, 23(3): 210-215.
12 Kozower BD, Sheng S, O'Brien SM, et al. STS database risk models: predictors of mortality and major morbidity for lung cancer resection [J]. Ann Thorac Surg, 2010, 90(3): 875-881.
13 Judith SL Partridge, Danielle Harari, Jugdeep K Dhesi. Frailty in the older surgical patient: a review[J]. Age Ageing, 2012, 41(2): 142-147.
14 Simon JG Richards, Frank A Frizelle, John A Geddes, et al. Frailty in surgical patients[J]. Int J Colorectal Dis, 2018, 33(12): 1657-1666.
15 Pierce RJ, Copland JM, Sharpe K, et al. Preoperative risk evaluation for lung cancer resection: predicted postoperative product as a predictor of surgical mortality[J]. Am J Respir Crit Care Med, 1994, 150(4): 947-955.
16 Lee SJ, Ahn HY, Park JH, et al. Factors afecting postoperative lung functions in patients undergoing lobectomy for non-small cell lung cancer[J]. Medicina, 2022, 58(8): 1021.
17 叶海潮. 体重指数评估晚期非小细胞肺癌生存预后价值的回顾性队列研究[D]. 广西: 广西医科大学, 2020: 23-35.
18 M Cristina G Barbosa-Silva. Subjective and objective nutritional assessment methods: what do they really assess? [J]. Curr Opin Clin Nutr Metab Care, 2008, 11(3): 248-254.
19 Xiang Li, Sida Qin, Xin Sun, et al. Prognostic significance of Albumin-Globulin Score in patients with operable non-small-cell lung cancer[J]. Ann Surg Oncol, 2018, 25(12): 3647-3659.
20 张静静, 金旭婷, 李若寒, 等. ICU住院期间平均血清白蛋白水平和患者预后的相关性分析——一项多中心回顾性队列研究[J]. 中国急救医学, 2022, 42(6): 476-480.
21 Tom Groot Kormelink, Desmond G Powe, Sylvia A Kuijpers, et al. Immunoglobulin free light chains are biomarkers of poor prognosis in basal-like breast cancer and are potential targets in tumor-associated inflammation[J]. Oncotarget, 2014, 5(10): 3159-3167.
22 Annette Fenner. Kidney cancer: Postoperative CRP predicts RCC outcome after nephrectomy[J]. Nat Rev Urol, 2010, 7(11): 593.
23 宋 鹏, 毛 谅, 卞晓洁, 等. 两种营养风险筛查方法在加速康复模式下肝癌肝切除围手术期应用比较[J]. 中华肝脏外科手术学电子杂志, 2020, 9(3): 221-226.
24 Jagoe RT, Goodship TH, Gibson GJ. The influence of nutritional status on complications after operations for lung cancer[J]. Ann Thorac Surg, 2001, 71(3): 936-943.
25 Jagoe RT, Goodship TH, Gibson GJ. Nutritional status of patients undergoing lung cancer operations[J]. Ann Thorac Surg, 2001, 71(3): 929-935.
26 Nomori H, Horio H, Fuyuno G, et al. Respiratory muscle strength after lung resection with special reference to age and procedures of thoracotomy[J]. Eur J Cardiothorac Surg, 1996, 10(5): 352-358.
27 李 新, 吴 杰, 侯红波, 等. 临床虚弱量表评分在老年慢性硬膜下血肿患者预后评估中的应用[J]. 中国老年学杂志, 2020, 40(23): 5010-5012.

备注/Memo

备注/Memo:
通信作者: 薛 蓓, Email:2689627631@qq.com
更新日期/Last Update: 2023-06-20