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目的 探讨老年肝门部胆管癌(HC)患者术后营养不良的相关影响因素,指导临床制定护理对 策。方法 选取2021年1月至2023年3月该院收治的300例老年HC患者,按照术后是否发生营养不良分为 营养不良组、营养良好组。收集患者一般资料并对上述资料开展单因素分析,将有统计学差异的项目进行logistic 回归分析。结果 300例老年HC患者中,198例患者整体营养状况主观评估(PG-SGA)评分为0~3分, 102例患者PG-SGA 评分为4~23分;单因素分析显示,性别、医疗付费方式、婚姻状况、贫血史、是否有糖尿 病、肝功能分级、TNM 分期、手术史、文化水平与营养不良无关,差异均无统计学意义(P >0.05);两组年龄、体 重指数、手术期间体重下降情况、清蛋白水平、术前营养状况评分、吸烟史、饮酒史与营养不良有关,差异均有统 计学意义(P <0.05);logistic回归分析显示,年龄≥70岁、体重指数<24.0 kg/m2、手术期间体重下降≥5%、 清蛋白水平偏低、术前营养状况评分≥3分、有吸烟史、有饮酒史是影响老年HC患者术后营养不良独立危险因 素(P <0.05,OR>1)。结论 性别、年龄、体重指数、手术期间体重下降情况、肿瘤直径、术前营养状况评分、吸 烟史、饮酒史是影响老年HC患者术后营养不良的主要因素,临床应制定有针对性的护理对策,降低营养不良 风险,改善患者预后。 [ABSTRACT FROM AUTHOR]

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