Nutritional risk relates to the prognosis of patients with retroperitoneal liposarcoma
10.3760/cma.j.issn.1007-631X.2016.03.012
- VernacularTitle:腹膜后脂肪肉瘤患者营养风险与预后的相关性研究
- Author:
Ning NING
;
Boyuan ZOU
;
Chenghua LUO
;
Yingjiang YE
;
Xiaodong YANG
- Publication Type:Journal Article
- Keywords:
Liposarcoma;
Nutritional surveys;
Perioperative period;
Prognosis
- From:
Chinese Journal of General Surgery
2016;31(3):218-220
- CountryChina
- Language:Chinese
-
Abstract:
Objective To provide evidence for the application of nutritional intervention strategy by analyzing perioperative nutritional status of retroperitoneal liposarcoma patients.Methods 60retroperitoneal liposarcoma patients were divided into primary group (27 cases) and relapse group (33cases).These patients were put on nutritional risk evaluation using nutritional risk screening (2002)(NRS2002) within 24 hours of admission,and the serum albumin (ALB) value was recorded.Results Preoperative NRS2002 score showed that relapse group had a higher chance of cacotrophy.Serum albumin level from different time point showed that patients in relapse group were more prone to cacotrophy (respectively t =9.174,4.720,10.950,8.772,10.960,all P < 0.05) and subject to slower recovery of gastrointestinal function [(86 ± 15) h vs.(61 ± 6) h] (t =7.903,P < 0.05),prolonged antibiotic use [(15.5 ± 5.6) d vs.(7.3 ± 0.7) d],t =7.55,P < 0.05),the average length of hospital stay was longer [(25.5±6.0) d vs.(14.1 ± 1.7)d] (t =9.571,P<0.05),and higher inhospita cost [(13.2±5.6) × 104 yuan vs.(6.8 ± 0.9) × 104 yuan] (t =5.871,P < 0.05).Though there was no difference between the two groups in incision complication rates (x2 =2.625,P > 0.05)Conclusions Retroperitoneal liposarcoma patients has perioperative nutritional risk.Compared with the primary group,patients from relapse group have higher chance to got cacotrophy.NRS2002 scoring system is simple,it could be used in predicting nutritional risk for those patients.