Tình trạng dinh dưỡng và một số yếu tố liên quan của bệnh nhân ung thư biểu mô tế bào gan tại Bệnh viện Ung bướu Nghệ An năm 2022 - 2023=Nutritional status and some related factors of hepatocellular carcinoma at Nghe An Oncology Hospital in 2022-2023

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Tác giả: Thị Hương Lê, Thị Tuyết Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2023

Mô tả vật lý: tr.57-65

Bộ sưu tập: Metadata

ID: 477500

Thêm vào giỏ

Mô tả tình trạng dinh dưỡng và phân tích một số yếu tố liên quan đến tình trạng dinh dưỡng ở người bệnh ung thư biểu mô tế bào gan. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang, tiến hành trên 90 người bệnh ung thư biểu mô tế bào gan. Kết quả: Tỷ lệ suy dinh dưỡng của người bệnh ung thư biểu mô tế bào gan (HCC) theo từng phương pháp: Theo chỉ số BMI là 24,2%, theo PG – SGA: Có 70% người bệnh suy dinh dưỡng (SDD) và có nguy cơ SDD, trong đó 7,8% SDD nặng (PG - SGA C), theo chỉ số hóa sinh: 36,7% người bệnh SDD theo albumin, chỉ số tổng số lượng tế bào Lympho (TLC) cho tỷ lệ SDD là 68,9% và 37,8% người bệnh bị thiếu máu. Một số yếu tố liên quan đến tình trạng dinh dưỡng (TTDD) gồm: Đối tượng nghiên cứu (ĐTNC) mắc bệnh kèm theo (OR: 4,5, 95% CI: 2,1 - 14,4), không thường xuyên ăn thịt và các chế phẩm từ thịt (OR:2,8, 95% CI: 1,1 – 7,3), không sử dụng thường xuyên cá và các chế phẩm từ cá (OR:6,0, 95% CI: 1,6 – 22,0), không thường xuyên ăn trứng và các chế phẩm từ trứng (OR:3,1 95% CI: 1,2 – 7,9), không thường xuyên ăn các loại quả chín (OR: 1,3, 95% CI: 1,0 – 1,6). Kết luận: Đánh giá TTDD ở bệnh nhân ung thư biểu mô tế bào gan bằng nhiều phương pháp cho thấy tỷ lệ SDD ở mức cao. Vì vậy, người bệnh HCC cần được sàng lọc, đánh giá và can thiệp dinh dưỡng thường xuyên trong quá trình điều trị. Có mối liên quan giữa tình trạng dinh dưỡng với ĐTNC có bệnh kèm theo, người bệnh không thường xuyên sử dụng các nhóm thực phẩm thịt, các chế phẩm từ thịt
cá, các chế phẩm từ cá
trứng, các chế phẩm từ trứng
nhóm quả chín có nguy cơ SDD so với BN thường xuyên sử dụng các loại thực phẩm này.To describe the malnutrition rate and analysis of some factors related to nutritional in Hepatocellular carcinoma (HCC) patients at Nghe An Oncology Hospital in 2022-2023. Subject and method: Descriptive cross-sectional study with analysis was conducted on 90 HCC patients at Nghe An Oncology Hospital from June 2022 to June 2023. The information was collected by a set of questionnaire which were used during direct interviews, carrying out medical examination and analyzing medical records. Results: The malnutrition rate after operation by PG-SGA was 70,0%, in which the rate of severe malnutrition accounted for 7,8% and the conditions measured according to BMI, Albumin, total number of Lymphocytes and Hemoglobin were 24,4%, 36,7%, 68,9% and 37,8% respectively. There was a relationship between the nutritional status of with accompanying chronic disease factors, frequency of use of meat, eggs, milk, semen and accompanying products (p<
0.05). Conclusion: The general assessment for HCC must be conducted to timely and rationally solve any problems and increase the effectiveness in treatment.

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