【摘要】 目的 调查首次化疗前百色市某医院肿瘤患者的营养风险、营养不良情况及化疗期间营养支持情况。方法 选取2017年5月～2018年8月百色市某三甲医院化疗病区收治的确诊恶性肿瘤并接受首次化疗的患者为研究对象。入院后48小时内使用营养风险筛查量表(NRS2002)进行筛查和评估营养不良情况，并记录入院和第一周期化疗结束之间的营养支持情况。结果 本次共调查121例患者，营养风险发生率为50.41%，营养不良发生率为42.15%。在61例有营养风险的患者中营养支持率为18%。肠外和肠内营养的比例为12∶2(6∶1)。营养支持能量摄入量为(14.99±5.90)kcal/(kg·d)，氮量为(0.13±0.05)g/(kg·d)。结论 该地区卵巢癌及消化道肿瘤患者营养风险、营养不良发生率较高，但营养支持的应用尚未规范，需加强临床医师对“肠内与肠外营养临床诊疗指南”的培训。

    【关键词】 营养风险筛查2002;营养风险;营养不良;营养支持;化疗

    中图分类号：R730.5 文献标志码：A DOI：10.3969/j.issn.1003-1383.2019.07.014

    【Abstract】 Objective To investigate the nutritional risk and malnutrition before the first chemotherapy as well as nutritional support during chemotherapy.Methods Patients who were diagnosed with malignant tumors and received the first chemotherapy in chemotherapy ward from a tertiary hospital in Baise City from May 2017 to August 2018 were selected as research subjects.Nutritional Risk Screening 2002(NRS2002) was performed and malnutrition was estimated within 48 hours of admission ......