摘要目的 探讨规律性营养支持对晚期消化系统肿瘤患者营养不良状况的影响.方法 收集2015年1月至2016年12月解放军沈阳军区总医院肿瘤科收治的24例晚期消化系统肿瘤营养不良患者的临床资料,随机分为对照组和治疗组,每组12例.对照组患者给予常规饮食及护理,治疗组在此基础上进行规律性的营养支持.治疗1个月后,比较治疗前后两组患者的体质量指数(BMI)、血清白蛋白、前白蛋白、转铁蛋白、淋巴细胞计数以及NRS 2002评分的变化情况.结果 对照组患者的BMI、血清蛋白、血清前蛋白、转铁蛋白、淋巴细胞计数与治疗前比较明显增高,NRS2002评分与治疗前比较降低,差异有统计学意义(P<0.05).结论 规律性营养支持能够有效改善晚期肝癌患者营养不良的状况,提高患者的生存质量.

abstractsObjective To observe the effect of appropriate regular nutritional support therapy on malnutrition in patients with advanced digestive system tumors. Methods A retrospective study was per-formed on 24 patients with malnutrition of digestive tract tumors who were admitted from January 2015 to December 2016. Patients were randomly divided into the control group and treatment group,with each group of 12 cases. The patients in the treatment group were treated with routine nursing and nutrition support,and the patients in the control group were given routine nursing and diet. The body mass index( BMI) ,serum al-bumin,prealbumin,transferrin,lymphocyte count and NRS 2002 score changes were compared before and one month after the treatment. Results In the control group,BMI,serum protein,serum prealbumin,trans-ferrin,lymphocyte count were significantly higher than those before treatment,NRS 2002 score reduced com-pared with before treatment ( P<0. 05 ) . Conclusion Regular nutritional support therapy can effectively improve the nutritional status of advanced liver cancer,improve the quality of life of patients.