全病程多学科营养管理在食管癌放疗患者中的应用  

Effect of multidisciplinary whole-course nutritional management on skeletal muscle index loss value and radiotherapy process in patients with esophageal cancer

作　　者：刘丽媛 王燕[1] 徐德静[1] 赵雪[1] Liu Liyuan;Wang Yan;Xu Dejing;Zhao Xue(Department of Radiotherapy,Jiangsu Cancer Hospital,Nanjing 210000,China)

机构地区：[1]江苏省肿瘤医院放疗科,南京210000

出　　处：《中华现代护理杂志》2022年第29期4113-4116,共4页Chinese Journal of Modern Nursing

基　　金：江苏省卫生健康委员会面上项目(H2017036)。

摘　　要：目的:观察全病程多学科营养管理对食管癌放疗患者骨骼肌指数丢失值及放疗进程的影响。方法:采用便利抽样法,选取2020年4月—2021年3月在江苏省肿瘤医院接受放疗治疗的102例食管癌患者为研究对象。采用信封法将患者分为对照组和观察组,各51例。两组均实施常规饮食指导,观察组在此基础上实施全病程多学科营养管理进行干预。入院及随访至放疗6个月后,观察并比较两组患者体重、BMI、骨骼肌指数值(SMI)、肌肉放射衰减(MRA)情况,并比较两组患者放疗延迟时间差异性。结果:重复测量方差分析结果显示,两组食管癌放疗患者不同时间体重、BMI、SMI、MRA以及放疗延迟时间存在组间、时间以及时间与组间的交互效应(P<0.05)。结论:全病程多学科营养管理可提高患者营养水平,延缓体重及BMI降低速度,减少SMI丢失,保证放疗的顺利进行。Objective To explore the effect of multidisciplinary whole-course nutritional management on skeletal muscle index loss value and radiotherapy process in patients with esophageal cancer.Methods From April 2020 to March 2021,a total of 102 patients with esophageal cancer undergoing radiotherapy treatment in Jiangsu Cancer Hospital were selected and divided into the control and the observation group(51 cases in each group)by the envelope method.Two groups conducted routine dietary guidance,besides the observation group carried out multidisciplinary whole-course nutritional management.The difference in weight,body mass index(BMI),skeletal muscle index value(SMI),muscle radiation attenuation(MRA)and radiotherapy delay time were compared.Results Repeated measures analysis of variance showed that weight at different times,BMI,SMI,MRA and radiotherapy delay time of patients in two groups exist time,groups,time and groups interaction effect(P<0.05).Conclusions Multidisciplinary whole-course nutrition management can improve the nutritional level of patients,delay the reduction of weight and BMI index,reduce the loss of SMI,and ensure the smooth progress of radiotherapy.

关 键 词：食管肿瘤 全病程多学科营养管理 放疗 骨骼肌指数丢失值 放疗进程 

分 类 号：R473.73[医药卫生—护理学]