多学科营养管理对头颈癌住院手术病人营养状况的影响研究  

Effect of multidisciplinary nutrition management team on nutritional status of head and neck cancer inpatients undergoing surgery

作　　者：蒋成芳[1] 沈丽娜[1] 席淑新[1] 黄皛梦[1] JIANG Cheng-fang;SHEN Li-na;XI Shu-xin;HUANG Xiao-meng(ENT Department,Eye&ENT hospital of Fudan Uiversity,Shanghai 200030,China)

机构地区：[1]复旦大学附属眼耳鼻喉科医院,上海200030

出　　处：《肠外与肠内营养》2020年第4期230-234,共5页Parenteral & Enteral Nutrition

基　　金：上海市护理学会级面上项目(2018MS-B19);复旦大学护理学院复星基金重点项目(FNF201702)。

摘　　要：目的:探讨多学科营养管理团队在头颈癌住院手术病人的应用效果。方法:238例头颈癌病人按住院时间分为对照组125例和观察组113例。对照组进行常规营养指导,观察组在住院期间多学科营养管理团队对其进行营养管理及干预。术后每周使用人体成分分析仪对病人进行营养指标监测。比较两组病人在术后1周、术后2周营养指标的变化。结果:通过实施多学科营养管理团队,观察者组病人术后1周的体质量、去脂体质量、骨骼肌含量和蛋白质含量变化均较对照组有明显改善(P<0.05);术后2周的体质量、去脂体质量和蛋白质含量变化均较对照组有明显改善(P<0.05)。结论:实施多学科营养管理团队能有效改善头颈癌手术病人住院期间的营养状态。Objective:To investigate the effect of multidisciplinary nutrition management on head and neck cancer patients who received operation.Methods:Totally 238 head and neck cancer surgical patients were recruited,and assigned to receive either routine nutritional guidance(the control group,n=125)or nutrition management and intervention by the multidisciplinary nutrition management(the intervention group,n=113).Nutritional indexes of patients with human component analyzer were monitored every week after surgery.The changes of the two groups at 1 week and 2 weeks after the operation were compared.Results:By implementing a multidisciplinary nutrition management team,the changes in body weight,fat-free body weight,skeletal muscle content and protein content of the intervention group at 1 week after the operation were significantly improved compared with the control group(P<0.05);2 weeks after the operation,the changes in body weight,fat removal weight and protein content of the intervention group were significantly improved compared with the control group(P<0.05).Conclusion:The implementation of a multidisciplinary nutrition management team can effectively improve the nutritional status of patients undergoing head and neck cancer surgery during hospitalization.

关 键 词：头颈癌 手术 多学科团队 营养管理 

分 类 号：R459.3[医药卫生—治疗学] R739.91[医药卫生—临床医学]