实用癌症杂志
實用癌癥雜誌
실용암증잡지
The Practical Journal of Cancer
2015年
8期
1221-1223,1226
,共4页
家庭肠内营养%胃癌晚期%应用效果
傢庭腸內營養%胃癌晚期%應用效果
가정장내영양%위암만기%응용효과
Home enteral nutrition%Advanced gastric cancer%Application effect
目的 探讨家庭肠内应用对胃癌晚期患者营养状态以及生活质量的效果. 方法 选取96例晚期胃癌患者作为研究对象,其中46例患者采用家庭肠内营养支持为EN组,另50例患者进行院内肠外营养支持为PN组,比较两组患者营养支持前后营养状态的变化以及营养支持6个月后患者生活质量的变化. 结果 两组患者经营养支持治疗后其血液成分和机体组成成分均与营养支持前存在明显差异(P<0.05),营养支持6个月后两组患者在血液成分上并无明显差异(P>0.05),但EN组患者的体重、BMI以及脂肪群均明显高于PN组患者(P<0.05),且EN组患者KPS、OLI以及EORTC QLQ-C30功能评分均明显高于PN组,而EORTC QLQ-C30单项评分则明显低于PN组(P<0.05),差异均具有统计学意义. 结论 家庭肠内营养可有效改善胃癌晚期患者的营养状态,且相比院内肠外营养其对提高患者的生活质量效果更佳,可在具有适应症的胃癌晚期患者中推广应用.
目的 探討傢庭腸內應用對胃癌晚期患者營養狀態以及生活質量的效果. 方法 選取96例晚期胃癌患者作為研究對象,其中46例患者採用傢庭腸內營養支持為EN組,另50例患者進行院內腸外營養支持為PN組,比較兩組患者營養支持前後營養狀態的變化以及營養支持6箇月後患者生活質量的變化. 結果 兩組患者經營養支持治療後其血液成分和機體組成成分均與營養支持前存在明顯差異(P<0.05),營養支持6箇月後兩組患者在血液成分上併無明顯差異(P>0.05),但EN組患者的體重、BMI以及脂肪群均明顯高于PN組患者(P<0.05),且EN組患者KPS、OLI以及EORTC QLQ-C30功能評分均明顯高于PN組,而EORTC QLQ-C30單項評分則明顯低于PN組(P<0.05),差異均具有統計學意義. 結論 傢庭腸內營養可有效改善胃癌晚期患者的營養狀態,且相比院內腸外營養其對提高患者的生活質量效果更佳,可在具有適應癥的胃癌晚期患者中推廣應用.
목적 탐토가정장내응용대위암만기환자영양상태이급생활질량적효과. 방법 선취96례만기위암환자작위연구대상,기중46례환자채용가정장내영양지지위EN조,령50례환자진행원내장외영양지지위PN조,비교량조환자영양지지전후영양상태적변화이급영양지지6개월후환자생활질량적변화. 결과 량조환자경영양지지치료후기혈액성분화궤체조성성분균여영양지지전존재명현차이(P<0.05),영양지지6개월후량조환자재혈액성분상병무명현차이(P>0.05),단EN조환자적체중、BMI이급지방군균명현고우PN조환자(P<0.05),차EN조환자KPS、OLI이급EORTC QLQ-C30공능평분균명현고우PN조,이EORTC QLQ-C30단항평분칙명현저우PN조(P<0.05),차이균구유통계학의의. 결론 가정장내영양가유효개선위암만기환자적영양상태,차상비원내장외영양기대제고환자적생활질량효과경가,가재구유괄응증적위암만기환자중추엄응용.
Objective To study the effect of home enteral nutritional for nourishment state and life quality of advanced gastric cancer.Methods 96 cases of advanced gastric cancer were the research objects,46 cases treated by home enteral nutri-tion were the EN group,and 50 cases treated with parenteral nutrition were the PN group,the changes of nutritional status before and after nutritional support and quality of life after 6 months of the 2 groups were compared.Results The blood composition and the body composition after nutritional support of the 2 groups compared with before nutritional support had obvious difference( P<0.05),and there was no significant difference in blood components between the 2 groups(P>0.05),but the body weight,BMI and fat mass of patients in EN group were significantly higher than those of the PN group( P<0.05) ,and the KPS,OLI and func-tional scores of EORTC QLQ C30EN of EN group were significantly higher than those of the PN group,while the single score of EORTC QLQ C30 was significantly lower than that of the PN group(P<0.05),the differences were statistically significant.Con-clusion Home enteral nutrition can effectively improve the nutritional status of advanced gastric cancer,and compared with par-enteral nutrition,it has better effect in improving quality of life of patients,it is worthy of application in advanced gastric cancer patients.
