不同年龄胃癌患者部分胃切除术后摄入能量和三大产能营养素变化分析  

Changes of energy intake and three productive nutrients in patients with gastric cancer at different ages after partial gastrectomy

作　　者：康书红 古丽斯坦[1] 王婷婷[1] Kang Shuhong;Guli Sitan;Wang Tingting(Department of Gastrointestinal Cancer Surgery,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,Xinjiang,China)

机构地区：[1]新疆医科大学第一附属医院胃肠肿瘤外科,新疆乌鲁木齐830054

出　　处：《肿瘤代谢与营养电子杂志》2024年第2期244-250,共7页Electronic Journal of Metabolism and Nutrition of Cancer

基　　金：新疆维吾尔自治区自然科学基金青年项目(2021D01C328)。

摘　　要：目的分析不同年龄胃癌患者部分胃切除术后饮食和营养摄入的变化。方法选取2021年1月至2023年1月在新疆医科大学第一附属医院行部分胃切除术的胃癌患者106例,按照年龄分为非老年组(<60岁)89例和老年组(≥60岁)17例,比较两组术前、术后1个月、术后3个月的能量、碳水化合物、蛋白质、脂肪摄入量,以及术后1个月、术后3个月的能量、碳水化合物、蛋白质、脂肪摄入量下降率。结果非老年组术后1个月的能量、碳水化合物、脂肪摄入量较术前降低(P<0.05),老年组术后1个月蛋白质摄入量[(64.09±10.85)g/d]较术前[(71.21±8.76)g/d]降低(P<0.05),老年组术后1个月、3个月脂肪摄入量[(43.55±8.66)g/d、(46.74±9.70)g/d]较术前[(52.45±6.61)g/d]降低(P<0.05);术后1个月、3个月非老年组脂肪摄入量[(49.56±9.82)g/d]、[(52.88±10.88)g/d]明显高于老年组[(43.55±8.66)g/d、(46.74±9.70)g/d](P<0.05)。非老年组术后1个月蛋白质、脂肪摄入量下降率明显低于老年组(P<0.05)。结论老年胃切除胃癌患者的蛋白质和脂肪摄入量下降率相对于非老年患者更多,这提示在治疗胃癌时可根据患者年龄进行针对性饮食、营养摄入指导,或可提升患者康复效率。Objective To analyze the changes of diet and nutrition intake in gastric cancer patients of different ages after gastrectomy.Method A total of 106 patients with partial gastric cancer who underwent gastrectomy in the First Affiliated Hospital of Xinjiang Medical University from January 2021 to January 2023 were selected and divided into 89 patients in the non-elderly group(<60 years old)and 17 patients in the elderly group(≥60 years old).The intake of energy,carbohydrate,protein and fat before surgery,1 month and 3 months after surgery were compared between the two groups.And the decrease rate of energy,carbohydrate,protein and fat intake 1 month and 3 months after surgery.Result The intake of energy,carbohydrate and fat in the non-elderly group was decreased one month after surgery(P<0.05),and the protein intake in the elderly group was decreased one month after surgery(64.09±10.85)g/d compared with that before surgery(71.21±8.76)g/d(P<0.05).Fat intake(43.55±8.66)g/d and(46.74±9.70)g/d in the elderly group at 1 and 3 months after surgery were lower than those before surgery(52.45±6.61)g/d(P<0.05).Fat intake(49.56±9.82)g/d and(52.88±10.88)g/d in the non-elderly group was significantly higher than that in the elderly group(43.55±8.66)g/d and(46.74±9.70)g/d at 1 month and 3 months after surgery(P<0.05).The decrease rate of protein and fat intake in non-elderly group was significantly lower than that in elderly group one month after operation(P<0.05).Conclusion The damage to protein and lipid intake in elderly patients with gastric cancer undergoing gastrectomy is more significant compared to non elderly patients.This suggests that targeted dietary and nutritional guidance can be provided according to the patient's age in clinical treatment of gastric cancer,or it can improve the patient's rehabilitation efficiency.

关 键 词：胃癌 胃切除术 不同年龄 饮食 三大产能营养素 营养摄入 

分 类 号：R735.2[医药卫生—肿瘤]