摘要
目的研究营养干预对消化系统恶性肿瘤患者的影响,探讨消化系统恶性肿瘤围术期及康复期营养干预的可行性及效果。方法选取我院普外科住院的消化系统恶性肿瘤101例,随机分为干预组50例和对照组51例。对干预组建立营养档案,行营养状况评估,并对术前、术后、康复期进行营养指导、营养指标监测、营养咨询等个性化干预;对照组按传统方法进行健康教育,不施加营养干预。结果干预组营养指标、体格指数、生化指标、日常生活活动能力和生存质量均明显优于对照组,差异有统计学意义(P<0.01),而围术期并发症发生率低于对照组,差异亦有统计学意义(P<0.01)。结论对消化系统恶性肿瘤患者进行营养风险评估,尽早发现其营养不良并适时干预,能有效提高患者机体免疫力,预防并发症,促进癌症康复,改善生存质量。
Objective To research nutrition interventions on patients with digestive system cancer and explore the feasibility and effect of perioperative digestive malignant tumor and convalescent nutrition intervention. Methods 101 patients with digestire malignant tumor admitted to our hospital were selected and randomly divided into intervention group （50 patients） and control group （51 patients）. The file of the intervention group was established for nutritional status assessment, and individuated interven- tion of nutrition guidance, nutrition indicated detection and nutrition counseling were performed in preoperative, postoperative and convalescence stages ; while the c^trol group was given traditional methods of health education without nutritional intervention. Resuits Nutrition index, body build index, biochemical indicator, activities of daily life and quality of life in intervention group were significantly better than that of control group （P 〈0.01 ）, and the perioperative complication rate was significantly lower than that of control group （P 〈 0.01 ）. Conclusion Patients with digestive malignant tumor should be given nutritional risk assessment for early detection of malnutrition, and timely intervention can effectively improve patients immunity, prevent complications, promote post cancer rehabilitation and improve the quality of life of the patients.
出处
《临床误诊误治》
2012年第9期60-63,共4页
Clinical Misdiagnosis & Mistherapy
基金
广西壮族自治区卫生厅计划课题(Z2010419)
关键词
肿瘤
消化系统
营养干预
Neoplasm
Digestive system
Nutrition intervention
