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Application of nutrition management manual in nutrition risk management of patients with laryngeal cancer

 

LI Hong, CAO Jiayan, LIU Zhichao, LI Na
  

  1.  
    (Tianjin Medical University Cancer Institute and Hospital,Tianjin 300060)
  • Received:2018-03-29 Revised:2019-01-06 Online:2019-04-28 Published:2019-05-17

营养管理手册在喉癌患者营养风险管理中的应用效果观察

 

李红    曹家燕    刘志超    李娜
  

  1.  
    (天津医科大学肿瘤医院 国家肿瘤临床医学研究中心 天津市“肿瘤防治”重点实验室 天津恶性肿瘤临床医学研究中心,天津 300060)

Abstract:  

Objective: To evaluate the effects of nutrition management manual on postoperative nutritional status and disease recovery in patients with laryngeal cancer. Methods: A total of 89 laryngeal cancer patients with nutritional risk rated by NRS-2002≥ 2 nutritional screening were divided into an experimental group(n=43)and a control group(n=46). The patients in experimental group received nutritional intervention with nutrition management manual before the operation, while the patients in control group received routine dietary guidance. The biochemical measurement of postoperative nutritional status, BMI, hospital stays and postoperative complications were compared between the two groups. Results: The levels of pre-albumin, total protein and BMI one day before the operation and one week after the operation in the experimental group were significantly higher than those in the control group(P<0.05 ). There was no significant difference in the rate of postoperative complications between the two groups(P>0.05 ). The hospital stay time was shorter than that of the control group, and the difference was statistically significant(P>0.05). There was no significant difference in the level of albumin between the two groups at one week after the operation(P>0.05). Conclusion: By applying nutrition management manual to preoperative patients with laryngeal cancer, the nutritional status and BMI of patients can be improved and the length of hospitalization can be shortened.

Key words:  Laryngeal cancer, Nutrition management manual, Nutrition risk

摘要:  

目的:探讨营养管理手册对喉癌患者术后营养状态及疾病恢复的影响。方法:选取天津某肿瘤医院颌面耳鼻喉肿瘤科行手术治疗的喉癌患者,采用NRS-2002≥2分营养筛查出89例高危营养风险患者,分为对照组46例,干预组43例,对照组给予常规饮食指导,干预组依据营养管理手册给予营养干预。比较两组患者术后实验室营养指标、体质指数、术后住院时间及并发症发生率。结果:术前1日及术后1周的前白蛋白及总蛋白、体质指数,干预组均高于对照组,差异均具有统计学意义(P<0.05);术后并发症的发生率两组比较差异无有统计学意义(P>0.05);术后住院时间干预组较对照组缩短,差异具有统计学意义(P<0.05)。术后1周的白蛋白两组比较差异无统计学意义(P>0.05)。结论:通过应用营养管理手册对喉癌术前患者进行干预后,能改善患者的营养状况,缩短住院时间。

关键词: 喉癌, 营养管理手册, 营养风险