预见性阶梯式营养管理在食管癌放疗患者中的应用效果  

Effectiveness of anticipatory stepwise nutritional management in patients undergoing radiotherapy for oesophageal cancer

作　　者：饶子凤 陈蕾 梅孟雪 叶江浙 Rao Zifeng;Chen Lei;Mei Mengxue;Ye Jiangzhe(The Second Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330006,China)

机构地区：[1]南昌大学第二附属医院,江西南昌330006

出　　处：《首都食品与医药》2025年第10期133-135,共3页Capital Food Medicine

基　　金：江西省卫生健康委科技计划项目(编号:202310577)。

摘　　要：目的探究预见性阶梯式营养管理在食管癌放疗患者中的应用效果。方法选取2022年7月-2023年7月我院收治的100例食管癌放疗患者,随机分为对照组(50例,常规营养管理)与实验组(50例,加用预见性阶梯式营养管理)。对比两组营养状况指标、放射性食管炎(RE)发生率及程度、护理满意度。结果干预3个月,两组体重指数(BMI)、白蛋白(ALB)、血红蛋白(Hb)均升高,实验组较高(P<0.05)。实验组RE总发生率、RE分级程度较低,总满意度高于对照组(P<0.05)。结论预见性阶梯式营养管理可改善食管癌放疗患者的营养状况,降低RE发生率,减轻RE严重程度,提高患者满意度。Objective To investigate the application effect of anticipatory stepwise nutritional management in patients with oesophageal cancer radiotherapy.Methods 100 cases of oesophageal cancer radiotherapy patients admitted to our hospital from July 2022 to July 2023 were selected and randomly divided into the control group(50 cases,conventional nutritional management)and the experimental group(50 cases,with the addition of anticipatory stepwise nutritional management).The two groups were compared in terms of nutritional status indicators,incidence and degree of radiation esophagitis(RE),and nursing satisfaction.Results At 3 months of intervention,body mass index(BMI),albumin(ALB),and haemoglobin(Hb)were elevated in both groups,and were higher in the experimental group(P<0.05).The experimental group had lower total incidence of RE,lower degree of RE grading,and higher total satisfaction than the control group(P<0.05).Conclusion Anticipatory stepwise nutritional management can improve the nutritional status of patients undergoing radiotherapy for esophageal cancer,reduce the incidence of RE,decrease the severity of RE,and improve patient satisfaction.

关 键 词：食管癌 放疗 预见性阶梯式营养管理 放射性食管炎 营养状况 

分 类 号：R473.73[医药卫生—护理学]