营养监测对老年食管癌术后病人生活质量的影响

doi:10.3969/j.issn.1003-9198.2021.01.006

Abstract

Abstract: Objective To investigate the effect of nutrition monitoring on the nutritional status and quality of life in the elderly patients with esophageal cancer after operation. Methods A total of 96 elderly patients with esophageal cancer from January 2016 to May 2019 were randomly divided into two groups: the control group (48 cases) receiving routine enteral nutrition support after operation, and the observation group (48 cases) receiving nutrition support under the guidance of nutrition monitoring after operation. Both groups were intervened until discharge. The levels of nutritional indexes such as albumin (ALB), prealbumin (PA), hemoglobin (Hb), transferrin (TRF), arm muscle circumference (AMC) and the MOS item short from health survey (SF-36) scores before and after intervention were compared. Results After intervention, the time of hospitalization was significantly shorter and the incidence rate of complications was significantly lower in the observation group than that in the control group (P<0. 05); The levels of ALB, PA, Hb, TRF and AMC in the observation group were higher than those in the control group and those before intervention (P<0. 05), but there were no significant differences in the above indicators in the control group before and after intervention; The scores of SF-36 in both groups were higher than those before intervention (P<0. 05), especially in the observation group (P<0. 05). Conclusions Nutritional support intervention under the guidance of nutrition monitoring can improve the nutritional status and quality of life in the elderly patients with esophageal cancer after operation.

Key words: nutrition monitoring, nutritional status, quality of life, esophageal cancer, albumin, aged

CLC Number:

R 735.1

LI Dan-feng, MA Jing-jing, SU Dan, LI Hu. Effect of nutrition monitoring on quality of life in elderly patients with esophageal cancer after operation[J]. Practical Geriatrics, 2021, 35(1): 20-23.

References

[1] WEIJS T J, NIEUWENHUIJZEN G A, RUURDA J P, et al. Study protocol for the nutritional route in oesophageal resection trial: a single-arm feasibility trial (NUTRIENT trial)[J]. BMJ Open, 2014, 4(6):e004557.
[2] 韩东景, 赵楠, 李伟, 等. 食管癌患者术前营养不足和营养风险发生率及临床营养支持现状调查[J]. 中华肿瘤防治杂志, 2013, 20(16):1274-1278.
[3] 陈万青, 郑荣寿, 张思维, 等. 2013年中国老年人群恶性肿瘤发病和死亡分析[J]. 中华肿瘤杂志, 2017, 39(2):60-66.
[4] 叶英俊, 谢淑萍. 老年食管癌患者放疗期营养状况分析[J]. 中华现代护理杂志, 2016, 22(1):55-58.
[5] KONDRUP J, ALLISON S P, ELIA M, et al. ESPEN guidelines for nutrition screening 2002[J]. Clin Nutr, 2003, 4(4):715-722.
[6] 魏丽珍, 康亚帆, 温登瑰, 等. 2261例食管癌临床分析[J]. 重庆医学, 2017, 46(9):1186-1187.
[7] ARNAL M J D, ARENAS A F, ARBELOA A L. Esophageal cancer: risk factors, screening and endoscopictreatment in Western and Eastern countries[J]. World J Gastroenterol, 2015, 21(26):7933-7943.
[8] HERRMANN E, MERTINEIT N, BARI B D, et al. Outcome of proximal esophageal cancer after definitive combined chemo-radiation: a Swiss multicenter retrospective study[J]. Radiat Oncol, 2017, 12(1):1165-1169.
[9] 李叶, 吴丽萍. 食管癌合并糖尿病老年术后患者早期肠内营养与血糖监测的护理[J]. 解放军护理杂志, 2016, 33(3):65-66.
[10] MATSUMOTO H, MURAKAMI H, KUBOTA H, et al. Clinical outcome of lower esophageal sphincter- and vagus-nerve-preserving partial cardiectomy for early gastric cancer of the subcardia[J]. Gastric Cancer, 2015, 18(3):669-674.[11] FIETKAU R, LEWITZKI V, KUHNT T, et al. Pp093-sun a cancer-specific enteral nutrition formula improves nutritional status and functional performance in patients with head and neck and oesophageal cancer undergoing chemoradiotherapy -a randomised, controlled multicenter trial[J]. Cancer, 2018, 119(18):3343-3353.
[12] 舒显竹, 马晓洁. 老年食管癌患者预后营养指数与老年营养风险指数的相关分析[J]. 现代肿瘤医学, 2019, 27(5):783-786.
[13] 冀赛光, 强勇, 胡力文, 等. 全程营养治疗对于食管癌患者术后体质成分的影响[J]. 东南国防医药, 2019, 21(5):482-486.
[14] KATANO S, HASHIMOTO A, OHORI K, et al. Nutritional status and energy intake as predictors of functional status after cardiac rehabilitation in elderly inpatients with heart failure - A Retrospective Cohort Study[J]. Circ J, 2018, 82(6):1584-1591.
[15] TURCOTT J G, GUILLEN NÚÑEZ M D R, FLORES-ESTRADA D, et al. The effect of nabilone on appetite, nutritional status, and quality of life in lung cancer patients: a randomized, double-blind clinical trial[J]. Support Care Cancer, 2018, 29(6):3029-3038.
[16] 邵秋月, 谢淑萍, 沈佳琴, 等. 食管癌放疗联合化疗患者营养状况相关性因素分析[J]. 中华全科医学, 2017, 15(9):1589-1591, 1608.
[17] 程国威, 孙莉, 张涛, 等. 不同营养支持方式对食管癌放疗患者影响[J]. 中华放射肿瘤学杂志, 2019, 28(7):505-508.

Effect of nutrition monitoring on quality of life in elderly patients with esophageal cancer after operation

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