Hua Zhoutao of element of Li Yu clear river
Summary purpose: Use the method that nutrition evaluates, the nutrient state of terminal tumour patient in dug reachs the meaning of assess, undertake comparative to different index. Method: To 99 first visit to a doctor in terminal tumour patient undertakes albumin of height, weight, serum, turn iron albumen, before of gross of albumin, lymphocyte determine, make objective comprehensive assessment to patient nutrition state. Result: In 99 tumour patient hidebound have 69, occurence rate is 69.7% . Among them 24 are angular model hidebound, 15 are protein hidebound, 30 to mix model hidebound. Conclusion: The hidebound occurence rate that tumor patient closes to not be the same as degree is high, hidebound concern with disease prognosis. In each serological index, before albumin is most sensitive.
Tumor; Nutrient state; Hidebound
Malignant tumor is one kind wastes sexual disease, as the development of tumor, nutrient state run down of the patient, and nutrient state the progress with the disease, prognosis and to cure be able to bear or endure suffer have affinity, the nutrient situation that assesses airframe consequently has important sense to malignant tumor patient, conduce to the degree with hidebound understanding, and be in clinical go up to undertake nutrition supports reasonably. This research aims to make clear tumor patient's hidebound happening circumstance, undertake evaluating to different nutrition index.
1 material and method
1.1 average data
In September 1995 ～ in October 1997, of 99 first visit to a doctor to tumor division be in hospital in terminal tumour patient undertakes nutrient state is investigated. Among them the male 53, female 46, 19 ～ is 78 the age years old. Lung cancer of classics pathology diagnose 21, alvine cancer 27, malign and lymphatic tumour 16, esophagus cancer 6, cancer of the stomach 10, breast cancer 13, other tumour 6.
1.2 measure index and method
Human body is measured include weight and height. Weight determines anthology when early morning is hollow, the micturition before determining. Height determines anthology in the morning 10 when the left and right sides, make a patient sufficient follow and approach, sufficient needle shows 40 ～ 60 ° horn, genu unbend, upper limbs nature is flagging, first, eye ear is in same standard (lower edge of left eye socket comes the horizontal) of upper edge of or so external auditory meatus. Biochemical index includes serum albumin, turn iron albumen, before gross of albumin, lymphocyte. Serum albumin, turn iron albumen, before albumin is used 7170 model full automatic biochemical analyzer is measured than chaotic law with transmission. According to measuring a result to calculate ideal weight reachs ideal weight percentage (IBW%) . Referenced " artificial stomach bowel supports " [1] , nutrient state criterion for evaluation sees a table 1.
Express assess of a group the standard of hidebound degree
Index is worth normally in be being spent gently, spend spend again
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