摘要
目的:探讨营养风险筛查在结直肠癌快速康复外科治疗中的作用,提高结直肠癌患者术后的营养状况和胃肠道免疫功能,促进胃肠道功能的恢复。方法:收集60例结直肠癌择期手术患者,并将其随机分为快速康复组(FTS)和传统治疗组,分别用快速康复措施和传统方法进行围手术期的处理,其中引入术前营养风险筛查和预防性营养干预,比较两组患者的术后营养状况与胃肠道免疫功能及术后肛门排气时间、术后住院日、住院总费用的差异。结果:与传统组相比,FTS组术后血清白蛋白(ABL)水平明显升高(P<0.01),C反应蛋白(CRP)水平明显降低(P<0.01),术后胃肠功能恢复更早,术后住院日更短(P<0.05),但两组的住院总费用和并发症的发生率比较无明显差异(P>0.05)。结论:术前营养风险筛查并营养干有助于结直肠癌的快速康复外科治疗。
Objective： To investigate the role of nutrition risk screening in fast track surgery of colorectal cancer, improve the postoperative nutritional status and immune function of gastrointestinal tract of colorectal cancer patients, and promote the recovery of gastrointestinal function. Methods： 60 patients with colorectal cancer undergoing elective surgery were selected and divided into FTS group and the control group, which were treated respectively with different measures, including preoperative nutritional risk screening and preventative nutrition intervention. The postoperative nutritional status and immune function, the time of first bowel movement, hospital stays, the complication rate and hospitalization costs were compared between the two groups. Results： Compared with that of the control group, the ABL level of FTS group was much higher （P〈0.05）, the CRP level was significantly lower （P〈0.05）, the recovery of gastrointestinal function after operation was much earlier （P〈0.05）, and the postoperative hospital stay was shorter（P〈0.05）. However, no significant difference was found in the hospitalization cost and incidence rates of adverse reactions between the two groups（P〉0.05）. Conclusion： Preoperative nutritional screening contributed to the FTS of colorectal cancer.
出处
《现代生物医学进展》
CAS
2014年第30期5926-5929,共4页
Progress in Modern Biomedicine
基金
国家自然科学基金项目(81272204)
关键词
营养风险筛查
结直肠癌
快速康复外科
Nutrition risk screening
Colorectal surger
Fast-track surgery
