术前营养支持对肝胆肿瘤患者术后营养状况的影响
投稿时间:2015-09-18  修订日期:2015-11-10  点此下载全文
引用本文:史宏梅,曹翔,李薇薇.术前营养支持对肝胆肿瘤患者术后营养状况的影响[J].医学研究杂志,2016,45(5):119-121
DOI: 10.11969/j.issn.1673-548X.2016.05.029
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作者单位E-mail
史宏梅 200438 上海, 第二军医大学附属东方肝胆外科医院营养科  
曹翔 200438 上海, 第二军医大学附属东方肝胆外科医院营养科 wsscx@aliyun.com 
李薇薇 200438 上海, 第二军医大学附属东方肝胆外科医院营养科  
中文摘要:目的 探讨肝胆肿瘤患者术前营养支持对术后营养状况的影响。方法 收集2014年1~7月入院时术前NRS2002评分≥3分的原发性肝胆肿瘤患者50例,按是否采用术前营养支持,分成术前营养支持组和非术前营养支持组(对照组),比较两组间术后营养指标的差异。结果 术前营养支持组的术后BMI、血红蛋白、白细胞、淋巴细胞、总蛋白、白蛋白、肌酐、尿酸的改善情况与对照组相比,差异均有统计学意义(P<0.05);与术前相比,而其术后的BMI、血红蛋白、总蛋白、白蛋白、肌酐、淋巴细胞百分比下降程度也低于对照组。结论 肝胆肿瘤患者其术前给予合理的营养支持有助于改善术后营养状况,应重视术前的营养评估,并给予必要的术前营养支持。
中文关键词:肝胆肿瘤  营养状况  术前营养支持
 
Effect of Preoperative Nutritional Support on Postoperative Nutritional Status of Patients with Hepatobiliary Tumor
Abstract:Objective To investigate the effect of preoperative nutritional support on postoperative nutritional status of patients with hepatobiliary tumor. Methods Recruited 50 cases of primary liver cancer patients from January 2014 to July 2014 whose preoperative scores estimated by NRS2002 were more than three points. The patients were divided into preoperative nutrition support group and non preoperative nutrition support group (control group) according to whether they received the preoperative nutrition support. Compared the differences of postoperative nutrition index between the two groups. Results Postoperative BMI, hemoglobin, white blood cells, lymphocytes, total protein, albumin and creatinine, uric acid of preoperative nutritional support group have significant differences compared with the control group. The decline degree of postoperative BMI, total protein,albumin,hemoglobin,creatinine,lymphocyte percentage is lower than the control group. Conclusion Preoperative nutritional support to patients with hepatobiliary tumor is helpful to improve the postoperative nutritional status.Preoperative nutrition assessment should be paid attention to and the necessary preoperative nutritional support should be provided.
keywords:Shepatobiliary cancer  Nutritional status  Preoperative nutrition support
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