目的 比较全球领导人营养不良倡议(GLIM)标准和患者主观整体评估(Patient-Generated Subjective Global Assessment, PG-SGA)在肿瘤患者营养不良诊断中的一致性。方法 随机后去2023年1月至2023年6月我院肿瘤患者300例,分别使用GLIM标准和PG-SGA量表进行评估,比较两种方法诊断肿瘤患者营养不良的一致性。结果 ①肿瘤患者营养风险筛查2002 (nutrition risk screening 2002,NRS 2002)平均得分为(3.36±1.03)分,78.3%(235/300)患者存在营养风险,不同年龄段、肿瘤类型及分期患者的NRS 2002评分存在显著差异(P<0.05),同时营养风险发生率也存在显著差异(P<0.05)。②GLIM标准诊断营养不良166例,阳性率55.33%；PG‐SGA诊断营养不良183例,阳性率61.0%。③通过两种诊断方法得出的营养不良发生率,在不同年龄、肿瘤类型及分期患者中存在显著性差异(P<0.05)。④Kappa检验显示,GLIM标准和PG-SGA诊断肿瘤患者营养不良的一致性较好(Kappa＝0.6,P＜0.01)。结论 肿瘤患者营养风险和营养不良发生率高,使用GLIM标准和PG-SGA诊断此类患者营养不良一致性良好。

Abstract: Objective To compare the consistency of the Global Leaders Malnutrition Initiative (GLIM) criteria and Patient-Generated Subjective Global Assessment (PG-SGA) in the diagnosis of malnutrition in cancer patients. Methods 300 cancer patients in our hospital from January 2023 to June 2023 were randomly evaluated by GLIM standard and PG-SGA scale, and the consistency of the two methods in diagnosing malnutrition in cancer patients was compared. Results ① The mean score of nutrition risk screening 2002 (NRS 2002) was (3.36±1.03), 78.3%(235/300) patients had nutritional risk. There were significant differences in NRS 2002 scores among patients of different ages, tumor types and stages (P<0.05), and there were also significant differences in the incidence of nutritional risk (P<0.05). (2) 166 cases of malnutrition were diagnosed by GLIM, positive rate 55.33%; Pg-sga diagnosis of malnutrition in 183 cases, positive rate of 61.0%. (3) There were significant differences in the incidence of malnutrition among patients with different ages, tumor types and stages (P<0.05). ④Kappa test showed good consistency between GLIM standard and PG-SGA in the diagnosis of malnutrition in tumor patients (Kappa = 0.6,P < 0.01). Conclusion The nutritional risk and incidence of malnutrition in cancer patients are high. The GLIM standard and PG-SGA are consistent in the diagnosis of malnutrition in these patients.

中国药学会科技开发中心科普项目