个体化营养干预对老年消化道恶性肿瘤患者围术期的影响

发布时间：2018-03-30 19:25

本文选题：围术期　切入点：个体化营养干预　出处：《中国老年学杂志》2017年09期

【摘要】：目的评价个体化营养干预对老年消化道恶性肿瘤患者围术期营养状况的影响。方法选择67例老年消化道恶性肿瘤患者,通过随机数表法分为干预组及对照组,干预组在围术期采用营养评估、建立档案、实施个体化营养干预模式,对照组实施常规饮食指导,干预前后对两组患者的营养状况、体格测量指标、实验室指标进行比较与评价。结果干预后,干预组主观综合营养评价评分显著优于对照组(P0.01),体重、体质指数(BMI)、三头肌皮褶厚度(TSF)、上臂围(MUAC)和上臂肌围(MACM)与对照组比较差异显著(P0.01),血清总蛋白、血清白蛋白、血红蛋白、总淋巴细胞计数等实验室指标均优于对照组(P0.01)。结论对老年消化道恶性肿瘤患者实施个体化营养干预,可有效改善患者营养状况,降低围术期营养不良风险。
[Abstract]:Objective to evaluate the effect of individualized nutritional intervention on the nutritional status of elderly patients undergoing perioperative digestive tract malignant tumor. Methods 67 cases of elderly patients with malignant tumor of digestive tract, by randomly divided into intervention group and control group, intervention group in the perioperative period of the nutritional assessment, establish files, the implementation of individualized nutritional intervention model, the control group was given routine diet guidance, the nutritional status of two groups of patients before and after the intervention, physical measurement, comparison and evaluation laboratory indicators. Results after the intervention, intervention group subjective nutritional score significantly better than the control group (P0.01), body weight, body mass index (BMI), triceps skinfold thickness (TSF) (MUAC), upper arm circumference and arm muscle circumference (MACM) compared with the control group (P0.01), serum total protein, serum albumin, hemoglobin, total lymphocyte count and other laboratory indicators are better than the control group (P0.01). Conclusion The individualized nutrition intervention for the elderly patients with digestive tract malignant tumor can effectively improve the nutritional status of the patients and reduce the risk of malnutrition in the perioperative period.

【作者单位】：广西科技大学第二附属医院护理部;
【基金】：广西壮族自治区卫生厅科研课题(No.Z2010419)
【分类号】：R473.73

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