有营养风险胃癌患者围手术期营养治疗观察  

The Observation of Nutritional Support in Gastric Cancer Patients with Nutritional Risk During Preoperative Period

作　　者：张云飞[1] 李文亮[1] 珠珠[1] 殷亮[1] 黄凤昌[1] 陈明清[1] 

机构地区：[1]昆明医学院第一附属医院肿瘤治疗中心,云南昆明650032

出　　处：《昆明医学院学报》2011年第2期49-51,67,共4页Journal of Kunming Medical College

摘　　要：目的研究经NRS2002评分表筛查有营养风险的患者,予围手术期营养支持治疗,探讨对有营养不良患者实施营养治疗的意义.方法对新确诊胃癌患者进行营养风险筛查,术前予肠内营养支持,术后肠内、肠外营养支持,观察患者手术前后体重变化、血清白蛋白变化、手术前后CRP变化、肛门排气时间及出院时间、并发症发生率的差异.结果实验组术后血清白蛋白水平明显高于对照组,C反应蛋白水平低于对照组,术后肛门排气早,并发症发生率更低,住院时间更短.结论对存在营养风险胃癌患者实施围手术期营养支持治疗,可以有效改善术后的营养状态,降低术后炎症反应水平和并发症发生率,缩短住院时间.Objective To study the significance of nutritional support in tional risk during perioperative period secreened by NRS2002 scoring system gastric cancer patients with nutri Methods The nutritional risk of gastric cancer patients was secreened by NRS2002 scoring system. The patients with nutritional risk was given en teral nutritional support before operation, and enteral and parenteral nutritional support after operation. The changes in body weight, serum albumin, CRP, the time of passage of gas by anus, the incidence of complica- tions and the time of hospital stay after operation were recorded. Results Compared with the control group, the levels of serum albumin of patients in the experiment group were significantly higher, the levels of CRP were low er, the time of passage of gas by anus was shorter, the incidence of complications was lower, and the time of hos pital stay was significantly shorter. Conclusion The nutritional support in gastric cancer patients with nutrition al risk can improve the patients＇ nutritional condition, decrease the inflammation reaction and the incidence of complications, and shortern the time of hospital stay.

关 键 词：胃癌 营养风险 营养支持 

分 类 号：R735.2[医药卫生—肿瘤]