中药治疗结合营养干预对结直肠癌围手术期营养的影响  

Effects of Traditional Chinese Medicine Therapy Combined With Nutrition Intervention on Nutrition in Perioperative Period of Colorectal Cancer

作　　者：吴庆旭 WU Qingxu(General Surgery Department,Ganyu District Hospital of Traditional Chinese Medicine of Lianyungang City,Lianyungang Jiangsu 222100,China)

机构地区：[1]江苏省连云港市赣榆区中医院普外科,江苏连云港222100

出　　处：《中国继续医学教育》2018年第31期136-139,共4页China Continuing Medical Education

摘　　要：目的研究中药治疗与营养干预结合应用在结直肠癌患者中的效果,并分析患者围手术期的营养状态。方法将我院2014年8月—2017年12月收入并开展手术治疗的64例结直肠癌患者作为本次研究病例,按照计算机表法对其进行分组,分为研究组与对照组,每组各32例,对照组患者行常规营养干预措施,研究组患者在对照组基础上加行补中益气汤加减治疗,比较两组的营养指标及营养不良发生率。结果手术后BMI、血红蛋白、血清白蛋白、血清总蛋白与手术前比较明显较低(P <0.05);手术后,研究组BMI,血清白蛋白,血清总蛋白,前白蛋白以及转铁蛋白均优于对照组(P <0.05),研究组患者手术后的营养不良发生率是71.88%,明显低于对照组患者的87.50%,组间比较差异有统计学意义(P <0.05)。结论中药治疗结合营养干预应用在结直肠癌患者中的效果明显,能够有效改善结直肠癌患者的营养不良状况。Objective To study the efect of traditional Chinese medicinetherapy combined with nutrition intervention in patients with colorectalcancer and analyze the nutritional status of patients during perioperativeperiod. Methods 64 patients with colorectal cancer who received incomefrom our hospital from August 2014 to December 2017 and underwentsurgical treatment were taken as the cases in this study. According to themethod of the computer table, patients were divided into research group andcontrol group, 32 cases in each group. Patients in the control group receivedroutine nutritional intervention, while patients in the study group receivedBuzhong Yiqi Decoction on the basis of the control group, nutritionalindicators and incidence of malnutrition were compared between the twogroups. Results After surgery, BMI, hemoglobin, serum albumin and totalserum protein were significantly lower than before surgery （P 〈 0.05）.After surgery, BMI, serum albumin, total serum protein, pre-albumin andtransferrin of the study group were significantly better than those of thecontrol group （P 〈 0.05）. The incidence of postoperative malnutrition inthe study group was 71.88%, which was significantly lower than that in the control group of 87.50%. The difference was statistically significant （P 〈 0.05）. Conclusion The efect of traditional Chinese medicine therapy combined with nutrition intervention in patients with colorectal cancer is obvious, which can effectively improve the malnutrition of patients with colorectal cancer.

关 键 词：中药 结直肠癌 围手术期 营养状态 饮食营养 营养干预措施 

分 类 号：R248[医药卫生—中医临床基础]