食管癌患者放化疗期间营养筛查评估及协同营养支持干预效果分析

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

王苗苗¹ 

关键词: 食管癌;    放疗;    化疗;    营养评估;    协同干预;    肠内营养;   

DOI  :  10.11997/nitcwm.201807037

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To evaluate the nutrition risk screening and collaborative nutrition support in patients with radiotherapy and chemotherapy for esophageal cancer. Methods 〓Totally 60 patients with concurrent radiotherapy and chemotherapy for esophageal cancer were assigned to the observation group and the control group, with 30 cases in each group. Patients of both two groups received nutrition risk screening before treatment. During concurrent radiotherapy and chemotherapy, the routine nutrition intervention was adopted in the control group, and the collaborative nutrition support was carried out in the observation group. The levels of nutritional indexes and complications induced by radiotherapy and chemotherapy were observed and compared between two groups at 4 weeks after the intervention. Results 〓Patients of the observation group achieved a better improvement in levels of hemoglobin, prealbumin, lymphocyte counts and total protein compared with those of patients in the control group(P<0.01). The main complications included radiation pneumonitis, radiation esophagitis, vomit and myelosuppression, and there was no significant difference in the complication rate between two groups(P>0.05). Conclusion 〓The collaborative nutrition support based on the nutrition risk screening is effecfive to improve the nutritional status of patients during concurrent radiotherapy and chemotherapy for esophageal cancer.

【 授权许可】

CC BY-NC