基于奥马哈系统的饮食管理对结直肠癌患者营养状况及术后恢复的影响  

Effect of diet management based on Omaha system on nutritional status and postoperative recovery of patients with colorectal cancer

作　　者：刘桂平[1] 刘慧杰[1] 马丽[1] 张震[1] LIU Guiping;LIU Huijie;MALi;ZHANG Zhen(Operating Room,the Third Affiliated Hospital of Xinxiang Medical University,Xinxiang 453003,He’nan,China)

机构地区：[1]新乡医学院第三附属医院手术室,河南新乡4530030

出　　处：《癌症进展》2020年第17期1825-1829,共5页Oncology Progress

摘　　要：目的探讨基于奥马哈系统的饮食管理对结直肠癌患者营养状况及术后恢复的影响。方法收集150例结直肠癌患者的病历资料,其中以2018年5—12月接受常规饮食管理的75例患者为对照组,以2019年1—8月接受基于奥马哈系统饮食管理的75例患者为观察组。比较两组患者干预前后主观整体营养评估量表(PGSGA)评分,血清转铁蛋白、视黄醇结合蛋白、前白蛋白水平,营养知识-态度-行为问卷(KAP)评分,排气时间,住院时间,并发症发生率。结果干预后,对照组患者PG-SGA评分无变化(P﹥0.05),观察组患者PG-SGA评分明显降低(P﹤0.01);且观察组患者PG-SGA评分明显低于对照组(P﹤0.01)。干预后,对照组患者血清转铁蛋白、视黄醇结合蛋白、前白蛋白水平均无变化(P﹥0.05),观察组患者均升高(P﹤0.05);且观察组患者3种血清蛋白水平均明显高于对照组(P﹤0.01)。干预后,两组患者知识、态度、行为评分均提高(P﹤0.05),且观察组患者评分明显高于对照组(P﹤0.01)。观察组患者排气时间、住院时间均短于对照组,并发症发生率低于对照组,差异均有统计学意义(P﹤0.05)。结论基于奥马哈系统的饮食管理可有效改善结直肠癌患者的术后营养状态,有利于术后恢复。Objective To investigate the effect of diet management based on Omaha system on nutritional status and postoperative recovery of patients with colorectal cancer.Method The clinical data of 150 patients with colorectal cancer were collected in this study.In this cohort,75 patients who received routine diet management from May 2018 to December 2018 were selected as the control group while 75 patients who received diet management based on Omaha system from January to August 2019 were selected as the observation group.The score of patient-generated subjective global assessment(PG-SGA),levels of serum transferrin,retinol binding protein and prealbumin,and score of nutrition knowledge-attitude-practice(KAP)questionnaire as well as indicators like exhaust time,hospitalization time and incidence of complications were compared between the two groups before and after the intervention.Result There was no significant difference in the score of PG-SGA in the control group(P>0.05)while score of the observation group was significantly decreased after intervention(P<0.01),and the PG-SGA score of the observation group was significantly lower than that of the control group(P<0.01).There was no significant difference in the levels of serum transferrin,retinol binding protein and prealbumin in the controlgroup(P>0.05)and these indicators were significantly increased in the observation group after intervention(P<0.05).All indicators in observation group were significantly higher than those in control group(P<0.01).After intervention,the scores of knowledge,attitude and behavior in the two groups were significantly improved(P<0.05),and the score in the observation group was significantly higher than that in the control group(P<0.01).The exhaust time and hospitalization time of the observation group were significantly shorter than those of the control group,and the incidence of complications was significantly lower than that of the control group,and all differences were statistically significant(P<0.05).Conclusion The diet management b

关 键 词：奥马哈系统 饮食管理 结直肠癌 营养 术后恢复 

分 类 号：R735.3[医药卫生—肿瘤]