Yoshioka K, Imabayashi N, Nishi M, Yamamura M, Hioki K, Yamamoto M
Gan No Rinsho. 1985 Sep;31(11):1422-6.
The influence of total parenteral nutrition (TPN) on nutritional assessment of patients with recurrent cancer was studied. One hundred forty-six patients with recurrent gastric, colorectal and breast cancer who have been admitted to our hospital during the past five years were surveyed. Serum albumin and cholinesterase levels on admission in the gastric and breast cancer patients who died in the hospital were considerably lower than those of the patients who recovered sufficiently to be discharged from the hospital. The patients with recurrent gastric cancer who received TPN for more than a week were also analyzed. It was shown that those whose levels of serum total protein and albumin did not respond favorably to TPN were the patients with shortest survival. Therefore, by checking the response to the administration of TPN, it seems to be possible to predict the patient's prognosis.
研究了全胃肠外营养(TPN)对复发癌患者营养评估的影响。对过去五年间我院收治的146例复发性胃癌、结直肠癌和乳腺癌患者进行了调查。在医院死亡的胃癌和乳腺癌患者入院时的血清白蛋白和胆碱酯酶水平显著低于康复到足以出院的患者。对接受TPN超过一周的复发性胃癌患者也进行了分析。结果显示,血清总蛋白和白蛋白水平对TPN反应不佳的患者生存期最短。因此,通过检查对TPN给药的反应,似乎有可能预测患者的预后。