Khrykov G N, Manikhas G M, Strukov E Iu, Khanevich M D, Fridman M Kh
Vestn Khir Im I I Grek. 2014;173(3):77-81.
The article presents the results of surgery outcomes in 127 elderly patients with colon cancer. The patients were divided into two groups: the main group (prospective, n = 52) and control group (retrospective, n = 75). The combined preoperative nutritive status assessment by BMI and a prognostic hypotrophy index were used. It included the optimization of nutritive support on all stages and an early tube removal, an enteral feeding during postoperative period. It was stated, that it significantly reduced the level of complications, period of intensive care unit stay on 2 days and a hospital stay on 4 days in main group. All the patients of the main group improved the quality of life during 7 days (EORTC QIQ CR29). Proposed nutritive support program allowed improvement of the quality of life and positive treatment outcomes in elderly patients with colon cancer.
本文介绍了127例老年结肠癌患者的手术结果。患者分为两组：主要组（前瞻性，n = 52）和对照组（回顾性，n = 75）。采用BMI和预后营养不良指数进行术前营养状况综合评估。包括在所有阶段优化营养支持并早期拔除导管，术后进行肠内喂养。结果表明，主要组的并发症水平显著降低，重症监护病房住院时间缩短2天，住院时间缩短4天。主要组的所有患者在7天内生活质量得到改善（欧洲癌症研究与治疗组织生活质量核心问卷CR29）。所提出的营养支持方案可改善老年结肠癌患者的生活质量和治疗效果。
