肠内营养粉剂对中国消化道恶性肿瘤病人术后近期疗效影响的Meta分析  

Effects of enteral nutrition powder on short‐term postoperative outcomes of patients with digestive tract malignancies in China:a Meta‐analysis

作　　者：朱明炜[1] 崔红元[1] 李子建 刘承宇 韦军民[1] Zhu Mingwei;Cui Hongyuan;Li Zijian;Liu Chengyu;Wei Junmin(Department of General Surgery,Department of Hepatopancreatobiliary Surgery,Beijing Hospital,National Center of Gerontology,Institute of Geriatrics,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of General Surgery,Department of Gastrointestinal Surgery,Beijing Hospital,National Center of Gerontology,Institute of Geriatrics,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]北京医院普外科肝胆胰外科,国家老年医学中心,中国医学科学院老年医学研究院,100730 [2]北京医院普外科,胃肠外科,国家老年医学中心,中国医学科学院老年医学研究院,100730

出　　处：《中华消化外科杂志》2021年第11期1227-1236,共10页Chinese Journal of Digestive Surgery

基　　金：北京市科技计划项目(D181100000218004)。

摘　　要：营养支持治疗可改善消化道恶性肿瘤病人术后营养状况和生命质量。国内外临床指南建议对恶性肿瘤手术病人术前施行早期以口服营养补充为主的营养支持治疗,以减少营养不良风险。肠内营养粉剂是胃肠道功能基本正常病人围手术期的主要营养支持方法。目前众多Meta分析结果显示:术后早期肠内营养能有效增强机体免疫功能、减少术后并发症和缩短住院时间,但近期结局指标分析不全面,且目前尚无关于中国病人的汇总分析结果。笔者查阅相关文献,采用Meta分析评价肠内营养粉剂对中国消化道恶性肿瘤病人术后近期疗效的影响。Nutritional support therapy can improve to the postoperative nutritional status and quality of life of patients with digestive tract malignancies.Clinical guidelines at home and abroad recommend early preoperative nutritional support therapy based on oral nutrition supplementation for patients undergoing surgery for digestive tract malignancies to reduce the risk of malnutrition.Enteral nutrition powder is the main perioperative nutritional support method for patients with basically normal gastrointestinal function.At present,many Meta-analyses also point out that early postoperative nutrition can effectively enhance the body′s immunity,reduce postoperative complications and shorten the length of hospital stay.However,the analysis of short-term outcome indicators is not comprehensive,and there is no summary analysis result on Chinese patients.The authors review the relevant literatures and conduct a Meta-analysis to evaluate the effect of enteral nutrition powder on the short-term postoperative outcomes of Chinese patients with digestive tract malignancies.

关 键 词：食管肿瘤 胃肠肿瘤 肠内营养粉剂 手术 近期疗效 META分析 

分 类 号：R735[医药卫生—肿瘤]