Construction of nutritional risk model for postoperative patients with colorectal cancer
结直肠癌术后患者营养风险模型的构建

摘要

目的 构建结直肠癌术后患者营养风险模型，并明晰营养风险模型对结直肠癌术后患者的效果。方法 以2022年1月至2023年12月为研究时间，选取我院进行了结直肠癌术的患者共120例（2022年1月至2022年12月选取60例、2023年1月至2023年12月选取60例），我院于2023年1月起构建了营养风险模型，以营养风险模型对构建后患者的营养进行干预，并将构建前患者的营养干预模式定义为常规营养干预。对比不同组患者的相关人体指标、营养相关实验室指标营养风险筛查表及欧洲五维健康量表评分变化。结果 ①构建前后患者的体重、体重指数及三头肌皮褶厚度有对比差异（P＜0.05），其中构建后患者的体重与体重指数明显上升，且三头肌皮褶厚度更趋于正常；②构建前后患者的HGB、ALB及PA有对比差异（P＜0.05），其中构建后患者的HGB、ALB及PA更趋于正常；③NRS表及EQ-5D量表对比显示，构建后患者的相关评分明显优于构建前，且构建前后相关数据对比有差异（P＜0.05）。结论 营养风险模型在结直肠癌术后可进一步改善患者营养状态，降低营养风险，促进患者康复，有较好的临床应用价值。

Abstract

Objective To establish a nutritional risk model for patients with colorectal cancer after surgery, and to clarify the effect of nutritional risk model on patients with colorectal cancer after surgery.
Methods A total of 120 patients undergoing colorectal cancer surgery in our hospital were selected from January 2022 to December 2023 as the study period (60 patients were selected from January 2022 to December 2022, and 60 patients were selected from January 2023 to December 2023). The nutritional risk model was established in our hospital from January 2023. Nutritional risk model was used to intervene the nutrition of patients after construction, and the nutritional intervention mode of patients before construction was defined as conventional nutritional intervention. The score changes of relevant body indicators, nutrition-related laboratory indicators, nutritional risk screening table and European five-dimension Health scale were compared in different groups of patients.
Results ① The body weight, body mass index and tricep skin fold thickness of patients before and after the construction were significantly different (P < 0.05). The body weight and body mass index of patients after the construction were significantly increased, and the tricep skin fold thickness was more normal. (2) HGB, ALB and PA were significantly different before and after construction (P < 0.05), and HGB, ALB and PA were more normal after construction. ③ The comparison of NRS table and EQ-5D scale showed that the relevant score of patients after construction was significantly better than that before construction, and there were differences in the comparison of relevant data before and after construction (P < 0.05).
Conclusion   The nutritional risk model can further improve the nutritional status, reduce the nutritional risk and promote the rehabilitation of patients after colorectal cancer surgery, and has good clinical application value.