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术前肠外营养补充对胃癌患者营养状况及炎症反应的影响

The effect of preoperative supplementary parenteral nutrition on nutrition and inflammation in gastric cancer patients.

作者信息

Huang Xiaoyan, Cui Changxing, Wang Jing, Kong Dongchi, Cui Yuanqing, Huang Peng, Li Xuelong

机构信息

Department of Nursing, Yantai Yuhuangding Hospital, Shandong, 264000, China.

Department of Surgery, Yantai Yuhuangding Hospital, Shandong, 264000, China.

出版信息

Discov Oncol. 2024 Sep 3;15(1):400. doi: 10.1007/s12672-024-01288-3.

Abstract

OBJECTIVES

Supplemental parenteral nutrition (SPN) is recommended to add when enteral nutrition alone is not sufficient. This research aims to evaluate the effect of preoperative SPN in patients with gastric cancer.

METHODS

A total of 180 patients with gastric cancer were divided into three groups (60 patients per group) according to different nutritional support scheme. The primary endpoint was the changes in nutrition and inflammatory, while the secondary endpoint included the changes in prognosis.

RESULTS

Compared with the control group, there were significant differences in nutrition and inflammation related indicators in the oral nutrition supplement (ONS) group and the SPN + ONS group (P < 0.05). Compared with the ONS group, the SPN + ONS group showed significant differences in the above indicators (P < 0.05). However, no significant changes were observed in the incidence of complications, the postoperative exhaust time, and the hospitalization time.

CONCLUSIONS

Preoperative SPN had a positive effect on nutrition and inflammation of gastric cancer patients undergoing surgery, but had no significant effect on their prognosis.

摘要

目的

当仅肠内营养不足时,建议添加补充性肠外营养(SPN)。本研究旨在评估术前SPN对胃癌患者的影响。

方法

根据不同营养支持方案,将180例胃癌患者分为三组(每组60例)。主要终点是营养和炎症的变化,次要终点包括预后的变化。

结果

与对照组相比,口服营养补充剂(ONS)组和SPN+ONS组的营养和炎症相关指标存在显著差异(P<0.05)。与ONS组相比,SPN+ONS组在上述指标上存在显著差异(P<0.05)。然而,并发症发生率、术后排气时间和住院时间均未观察到显著变化。

结论

术前SPN对接受手术的胃癌患者的营养和炎症有积极影响,但对其预后无显著影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32e3/11372033/eb34e69cfad5/12672_2024_1288_Fig1_HTML.jpg

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