NUTRITIONAL STATUS OF PATIENTS BEFORE STOMACH SURGERY AT THAI BINH PROVINCE GENERAL HOSPITAL 2019

Thuy-Dung Nguyen, K. Tran, Trong Hung Nguyen, Thi Hue Vu, Minh Huong Nguyen, Q. Luong, T. Pham
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Abstract

Aimes: To describe nutritional status and dietary characteristics before stomach surgery.. Methods: A cross-sectional study conducted at the Department of General Surgery and Department of Surgery at the Oncology Center from June 2019 to March 2020. The nutritional status of patients was identified using the Subjective Global Assessment (SGA) classification scale and  the Mini Nutritional Assessment (MNA). Results: 67.1% were men, 65.7% age group ≥ 60; 25.4% of patients lacked energy for a long time when discharged from the hospital, this rate increased to 59.7%; Assessed by the SGA method, there were 80.6% of patients with mild and moderate malnutrition, no patients with severe malnutrition; Assessed by MNA method: 71% risk of malnutrition, 25.8% of malnutrition; According to albumin concentration, malnutrition rate is 19.4%; The rate of weight loss in the last 6 months was 52.2%; The average dietary energy was 1433.6 ± 235.7 kcal; The percentage of subjects meeting the requirements for energy-producing substances was Glucid 7.5%, Lipid 76.1%, Protein 53.7%. Conclusion: The disease was mainly seen in men and in the age group over 60. The rate of malnutrition in patients before stomach surgery was very high, so hospitalized patients need to have their nutritional status assessed to offer supportive solutions and appropriate nutrition for the patient and treatment prognosis.
2019年泰平省总医院胃手术前患者营养状况
目的:描述胃手术前的营养状况和饮食特点。方法:于2019年6月至2020年3月在肿瘤中心普外科和外科进行横断面研究。采用主观整体评估(SGA)分类量表和迷你营养评估(MNA)来确定患者的营养状况。结果:67.1%为男性,65.7%年龄≥60岁;出院时长期精力不足的占25.4%,这一比例上升至59.7%;经SGA法评估,有80.6%的患者出现轻、中度营养不良,无患者出现重度营养不良;MNA法评估:营养不良风险71%,营养不良发生率25.8%;按白蛋白浓度计算,营养不良率为19.4%;近6个月体重减轻率为52.2%;平均日粮能量为1433.6±235.7 kcal;满足产能物质需要量的比例分别为:葡萄糖7.5%、脂质76.1%、蛋白质53.7%。结论:本病多见于男性和60岁以上年龄组。胃手术前患者的营养不良发生率很高,住院患者需要对其营养状况进行评估,为患者提供支持性解决方案和适当的营养及治疗预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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