规范化营养治疗在胃癌围手术期病人中的应用效果观察

发布时间：2018-06-07 14:18

本文选题：规范化 + 营养治疗　；参考：《肠外与肠内营养》2017年01期

【摘要】：目的:探讨规范化营养治疗在胃癌围手术期病人中的应用效果。方法:将我院收治的需营养治疗的胃癌病人76例随机分为试验组和对照组,每组各38例。试验组由接受过全营养治疗(TNT)和肿瘤目标营养(GNT)培训的专职医务人员制订营养治疗方案;对照组由临床医师按常规经验给予干预,比较两组病人的营养状况、胃肠功能恢复状况、并发症的发生情况以及住院时间等。结果:试验组病人术前1 d和术后第7天的体重、肱三头肌皮皱厚度(TSF)和上臂肌围(AMC)优于对照组,差异有显著性统计学意义(P0.05)。试验组病人术前1 d、术后第1和第7天血清前清蛋白水平均高于对照组(P0.05)。试验组病人肛门开始排气及排便时间较对照组提前,差异有显著性统计学意义(P0.01)。两组各有1例病人术后出血,对照组2例术后发生吻合口瘘。试验组病人住院时间明显短于对照组(P0.01)。结论:规范化营养治疗不仅能改善胃癌围手术期病人的营养状况,而且还能促进病人术后胃肠功能恢复,缩短住院时间。
[Abstract]:Objective: to investigate the effect of standardized nutrition therapy in patients with gastric cancer during perioperative period. Methods: 76 patients with gastric cancer in our hospital were randomly divided into experimental group and control group with 38 cases in each group. The experimental group was trained in total nutrition therapy (TNT) and tumor target nutrition (GNT), and the control group was given intervention by clinicians according to routine experience to compare the nutritional status of the two groups. Recovery of gastrointestinal function, occurrence of complications and hospital stay. Results: the body weight, triceps skin crease thickness (TSF) and arm muscle circumference (AMCC) of the patients in the test group were better than those in the control group 1 day before operation and 7 days after operation, and the difference was statistically significant (P 0.05). The serum prealbumin levels of the patients in the test group were higher than those in the control group on day 1, day 1 and day 7 after operation. The time of anal exhaust and defecation in the trial group was earlier than that in the control group, and the difference was statistically significant (P 0.01). One patient in each group had postoperative bleeding, while two patients in the control group had anastomotic leakage after operation. The hospitalization time of the patients in the test group was significantly shorter than that in the control group (P 0.01). Conclusion: standardized nutrition therapy can not only improve the nutritional status of patients with gastric cancer during perioperative period, but also promote the recovery of gastrointestinal function and shorten the hospitalization time.
【作者单位】：广东省中医院胃肠外科;
【基金】：广东省中医药局建设中医药强省科研课题资助(20151212)
【分类号】：R473.73

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