AIWW与NRS2002营养筛查工具在胃癌住院病人营养筛查中的效果比较

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Comparison of AIWW and NRS2o02 in the nutritional screening of inpatients with gastric cancer

ZHU Yin1 ，LANJiangling1，ZHANG Yujiao’，ZHANG Shizhen1，LEI Yi*

1.Guangxi Medical University，Guangxi 53oooo China; 2. Guangxi Medical University Cancer Hospital

*Corresponding Author LEI Yi，E-mail： leiyi @ sr.gxmu.edu.cn

AbstractObjective：TexploretheefectsofAIWWandNRS2o02inthenutrioalriskscreeningofinpatientswithgastriccancer， andtoanalyzetheirapplicabilityinpatientswithgastriccancerMethds：Aconvenencesamplingmethodwasusedtoselect376patients withgastriccancerhoeretreatedinthegastricandabdominaltumorwardsoftertarygradeAtumorhospitalinGuangxifroOctober 2023toApril2024.AIWWandNRS2o02wereusedforutritionalsrengwith24hoursafterthepatientsadmisson.TheMP-SGA assessmetresultsereusedasthediagnosticiteriaformalutrition.Tensitivityspecificitypositivepredictivevalueegatie predictivevalue，positielikeliodratioegatieikeliodatioKappvalue，eceiveroperatingharacteristicOC）cueada underthecurveofWWandNRS2O2werecalcuatedResults：Atotalof376patientswithgstrcancerwereincluded.UsingM-GA as the diagnostic standard，254 patients （67.6% ）hadmalnutrition.The risks of malnutrition in patients with gastric cancer diagnosed by AIWW and NRS2002 were 67.0% and 34.8% respectively.The sensitivities of AIWW and NRS2OO2 in diagnosing malnutrition were 0.98and0.51respectivelyandthespecificitieswereO.97andO.98respectively.TheKappaconsistencyresultsofAIWWandN002 with MPG-SGA were 0.928 and 0.389 respectively.The areas undertheROCcurves were 0.982 and O.788respectively.Conclusions： Both AIWWandNRS2O2couldprovideabasisforthescreeningofmalutritionriskinpatients withgastriccancer.In theevaluationof diagnosticeffcencyWWasaighsensitivity，oodonsistencywithGA，andsiplefeasyasessment.refoet is recommended to use the AIWW nutritional screening toolfor the nutritional screening ofpatients with gastric cancer.

Keywordsgastriccancer; malnutrition; nutritionalscreening; AIWW;NRS2OO2;diagnostic efficiency; nursing摘要目的：探讨基于年龄、体质指数、进食情况、体重减少情况的营养风险评估工具（Assessment of Nutritional Risk based on BodyMass Index，Intake and Weightloss，AIWW）和营养风险筛查2002（NRS2002）用于胃癌住院病人营养风险筛查的效果，分析其在胃癌病人中的适用性。（剩余12321字）