胃癌手术患者营养支持情况调查研究  

Research on Nutritional Support in Patients undergoing Gastric Cancer Surgery

作　　者：唐毅 王惠群 王黔 杨芳[3] 杨雯雁 杨大刚 TANG Yi;WANG Hui-qun;WANG Qian;YANG Fang;YANG Wen-yan;YANG Da-gang(College of Public Health,Guizhou Medical University,Guiyang 550025;The Affiliated Hospital of Guizhou Medical University;College of Laboratory,Guizhou Medical University,Guiyang 550025)

机构地区：[1]贵州医科大学公共卫生学院,贵阳550025 [2]贵州医科大学附属医院,贵阳550004 [3]贵州医科大学检验学院,贵阳550025

出　　处：《实用中西医结合临床》2020年第10期114-116,共3页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

基　　金：贵州省科技厅基金(编号:[2014] 3021)。

摘　　要：目的:调查贵州医科大学附属医院胃癌手术患者营养支持现状,为营养支持的规范化提供指导依据。方法:选取2017年9月~2018年12月收治的172例胃癌手术患者作为研究对象,评估其术前营养风险状况,检测患者入院和出院时的相应营养指标,并调查营养支持、总住院天数、术后住院天数、总住院费用等情况。结果:172例患者中,营养不足的总发生率为18.02%,超重发生率为21.51%,肥胖发生率为5.23%。术前无营养风险者113例(占65.70%),给予营养支持者38例(占33.63%);有营养风险者59例(占34.30%),给予营养支持者30例(占50.85%)。患者出院时淋巴细胞、红细胞、血红蛋白、总蛋白、白蛋白、前白蛋白等营养指标均低于入院时,除血红蛋白外,其他营养指标与入院时相比较,差异均有统计学意义(P<0.05)。有营养风险并进行营养支持的患者总住院天数、术后住院天数及总住院费用均比有营养风险未进行营养支持的患者少,差异有统计学意义(P<0.05)。结论:贵州医科大学附属医院临床医生对胃癌手术患者的营养支持不够规范,对于患者的营养支持应基于证据进行规范化治疗。Objective:To investigate the status of nutritional support for patients undergoing gastric cancer surgery in the affiliated hospital of Guizhou Medical University,in order to provide guidance for the standardization of nutritional support.Methods:From September 2017 to December 2018,172 cases of admitted patients undergoing gastric cancer surgery were selected as the research objects,evaluated their preoperative nutritional risk status,detected the corresponding nutritional indicators of patients when they were hospitalized and left hospital,and investigated the status of nutritional support,total hospitalization days,postoperative hospitalization days,total hospitalization expenses.Results:In these 172 patients,the total incidence of malnutrition was 18.02%,the incidence of overweight was 21.51%,and the incidence of obesity was 5.23%.113 patients(65.70%)had no nutritional risk before the surgery,while38 patients(33.63%)in them had nutritional support;59 patients(34.30%)had nutritional risk before the surgery,while 30 patients(50.85%)in them had nutritional support.The nutritional indexes of lymphocyte,red blood cell,hemoglobin,total protein,albumin and prealbumin when these patients left hospital were lower than those when they were hospitalized.Except the index of hemoglobin,there were significant differences between other nutritional indexes when they were hospitalized and left hospital(P<0.05).The total hospitalization days,postoperative hospitalization days and total hospitalization expenses of patients with nutritional risk and nutritional support were less than those of patients with nutritional risk and without nutritional support,the differences were statistically significant(P<0.05).Conclusion:In the affiliated hospital of Guizhou Medical University,the nutritional support for patients undergoing gastric cancer surgery is not standardized,the nutritional support for these patients should be standardized based on evidence.

关 键 词：胃癌手术患者 营养支持 现状 

分 类 号：R735.2[医药卫生—肿瘤]