口腔颌面部恶性肿瘤患者术后肠内营养的疗效观察  

Enteral nutrition in postoperative patients of oral and maxillofacial malignant tumors

作　　者：刘科星[1] 杜俊兰[1] 

机构地区：[1]第三军医大学第二附属医院口腔科,重庆400037

出　　处：《检验医学与临床》2013年第23期3132-3133,共2页Laboratory Medicine and Clinic

摘　　要：目的观察口腔颌面部恶性肿瘤患者术后肠内营养的临床疗效,探讨其临床实用性。方法选择2011年5月至2012年12月于第三军医大学第二附属医院住院手术治疗口腔颌面部恶性肿瘤的32例患者,随机分为实验组(17例)和对照组(15例),对照组患者于术后给予自制的膳食,实验组采用肠内营养混悬液营养支持。观察并分别测定两组术前第1天和术后第7天营养监测相关指标和术后恢复程度判断。结果术后第7天实验组患者体质量和上臂中部平均周径较术前第1天无明显变化,而对照组患者体质量和上臂中部平均周径明显减少,差异有统计学意义(P<0.05);对照组患者血清指标中总蛋白、清蛋白、载铁蛋白及淋巴细胞总数也较实验组明显减少,差异有统计学意义(P<0.05);实验组术后恢复情况也明显优于对照组,差异有统计学意义(χ2=10.25,P<0.05)。结论术后肠内营养对于改善口腔颌面部恶性肿瘤患者的营养情况有很好的促进作用,同时可以较快恢复患者的身体情况,适合临床长期推广应用。Objective To observe the treatment effect of enteral nutrition in postoperative patients suffering from oral and maxillofacial malignant tumors. Methods 32 cases of oral and maxillofacial malignant tumor postopera- tive patients were divided into the experimental group（17） and control group（15） randomly. The control group were given with homemade homogenate meal while the experimental group were supplemented with enteral nutrition. The nutrition related indexes were determined before and the seventh day after operation. Results The patient＇s weight and the average mid upper arm circumference in the experimental group had no significant change in the seven days compared with those the day before, while those indicators in the control goup were significant decreased, and the difference between two groups was statistically significant（P^0. 05） ;Total protein, albumin, transported Fe protein and the total number of lymphocytes in serum indicators of the control group, also significantly reduced, the difference between the two groups was statistically significant（P-~0.05） ;Postoperative recovery of the experimental group was significantly better than the control group,the difference was statistically significant（x^2 =10.25, P〈0.05）. Conelu- sion Early enteral nutrition can decrease gastrointestinal stimulation,and improve the nutritional status.

关 键 词：口腔颌面部 恶性肿瘤 肠内营养 

分 类 号：R739.81[医药卫生—肿瘤]