摘要
目的:围手术期给予口腔恶性肿瘤根治同期修复重建手术患者个性化营养支持治疗,观察其对术后康复及营养状况的影响。方法:选取中山大学附属口腔医院2018年1-12月收治的口腔恶性肿瘤患者88例,采用整群抽样方法,根据患者入院时间进行分组,2018年7-12月入院40例患者作为研究组,2018年1-6月入院48例患者作为常规组。常规组给予传统健康教育及膳食指导。研究组除膳食指导外,根据患者体质量指数、术前术后营养状况动态调整营养治疗方案的个性化营养支持,包括术前给予口服营养补充,术后给予个性化营养处方,并根据患者营养指标增加蛋白质的摄入。比较2组患者术后2周的营养状况、肠内营养并发症和术后康复情况。结果:术后2周,研究组血红蛋白、总蛋白、前白蛋白分别为(107.93±16.19)g/L、(68.40±4.87)g/L、(189.02±55.19)mg/L,明显高于常规组的(101.23±14.62)g/L、(63.11±6.42)g/L、(165.75±40.60)mg/L,差异有统计学意义(t值为-2.037、-4.271、-2.276,均P<0.05)。研究组患者营养不良、手术切口感染及腹胀发生率分别为42.50%(17/40)、0、5.00%(2/40),低于常规组患者的64.58%(31/48)、16.67%(8/48)、20.83%(10/48),差异有统计学意义(χ2值为4.292、7.333、4.644,P<0.05)。结论:围手术期个性化营养支持应用于口腔恶性肿瘤根治同期修复重建手术患者能有效改善其营养状况,减少肠内营养相关并发症,提高机体免疫力,降低切口感染风险,有助于改善患者生命质量,值得临床借鉴。
Objective To observe the effect of personalized nutritional support on postoperative rehabilitation and nutritional status in patients undergoing radical mastectomy and reconstruction of oral malignant tumor.Methods Eighty-eight patients with oral malignant tumor admitted from January 2018 to December 2018 in Hospital of Stomatology,Sun Yat-sen University were divided into two groups according to the time of admission.40 patients were selected as the study group and 48 patients were selected as the routine group.The routine group was given traditional health education and dietary guidance.In addition to dietary guidance,the study group was given personalized nutritional support according to the patients'body mass index and nutritional status before and after operation,including oral nutritional supplement before operation,personalized nutritional prescription after operation,and increased protein intake according to the nutritional indicators of the patients.The nutritional status,enteral nutrition complications and postoperative rehabilitation were compared between the two groups two weeks after operation.Results Two weeks after operation,the hemoglobin,total protein,prealbumin were(107.93±16.19)g/L,(68.40±4.87)g/L,(189.02±55.19)mg/L in the study group,and(101.23±14.62)g/L,(63.11±6.42)g/L,(165.75±40.60)mg/L in the routine group,there were significant differences(t values were-2.037,-4.271,-2.276,all P<0.05).The incidence of malnutrition,wound infection and gastrointestinal complications were 42.50%(17/40),0,5.00%(2/40)in the study group and 64.58%(31/48),16.67%(8/48),20.83%(10/48)in the control group,there were significant differences(χ2 values were 4.292,7.333,4.644,P<0.05).Conclusions Perioperative personalized nutritional support can effectively improve the nutritional status,reduce enteral nutrition-related complications,improve immunity and reduce the risk of incision infection in patients undergoing radical mastectomy and simultaneous reconstruction of oral malignant tumors,which is helpful to impro
作者
叶菁菁
何杏芳
林朱梅
赵艳琼
王帅
黄秋雨
Ye Jingjing;He Xingfang;Lin Zhumei;Zhao Yanqiong;Wang Shuai;Huang Qiuyu(Department of Oral and Maxillofacial Surgery,Hospital of Stomatology,Sun Yat-sen University,Guangdong Provincial Key Laboratory of Stomatology,Guangzhou 510055,China)
出处
《中国实用护理杂志》
2020年第31期2455-2460,共6页
Chinese Journal of Practical Nursing
基金
中山大学护理青年人才培育基金项目 (N2017Y06)。
关键词
口腔肿瘤
营养支持
营养状况
肠内营养
Mouth neoplasms
Nutrition support
Nutritional status
Enteral nutrition
