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首页> 外文期刊>Asia Pacific journal of clinical nutrition >Accelerated rehabilitation combined with enteral nutrition in the management of lung cancer surgery patients
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Accelerated rehabilitation combined with enteral nutrition in the management of lung cancer surgery patients

机译:加速康复结合肠内营养在肺癌手术患者管理中

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Background and Objectives: To investigate the effect of accelerated rehabilitation combined with enteral nutrition on surgically treated lung cancer patients. Methods and Study Design: In total, 150 lung cancer patients treated in our hospital from January 2017 to January 2018 were retrospectively analysed. Sixty-six patients were randomly divided into a control group with conventional nutrition (Con group) and an accelerated rehabilitation combined with enteral nutrition group (EN group). Postoperative drainage; total hospitalization time; total hospitalization expenses; and albumin, haemoglobin and total lymphocyte counts (TLC) before and after treatment were compared. Results: The serum albumin, prealbumin and haemoglobin in both groups were decreased after operation and were significantly higher in the EN group (p<0.05) than in the Con group. The TLC decreased in both groups after operation and were significantly higher in the EN group than in the con group. The postoperative drainage volume, total hospitalization time and total hospitalization expenses were significantly lower in the EN group than in the Con group (p<0.05). Conclusions: The effect of accelerated rehabilitation combined with enteral nutrition in lung cancer surgery patients is clear. Surgery leads to stress, which enhances catabolism and reduces the synthesis of carbohydrates, protein, and fat, increasing patients' nutritional risk. Nutritional support combined with fast-track minimally invasive thoracic surgery for at-risk lung cancer patients who undergo preoperative nutritional screening and assessment can reduce postoperative complications and hospitalization time and improve nutritional indicators, immunity, respiratory function recovery and clinical outcomes, leading to socioeconomic benefits.
机译:背景与目标:探讨加速康复结合肠内营养对手术治疗肺癌患者的影响。方法和研究设计:从2017年1月到2018年1月治疗的150例肺癌患者的回顾性分析。将六十六名患者随机分为常规营养(CON组)的对照组,并加速康复与肠内营养组(EN组)组合。术后排水;总住院时间;住院治疗总额;比较了治疗前后的白蛋白,血红蛋白和总淋巴细胞计数(TLC)。结果:血清白蛋白,两组血清白蛋白,血红蛋白在术后降低,en组中显着高于Con组。 TLC在手术后两组减少,en组在en组中显着高于Con组。术术后排水量,总住院时间和总住院费用在en组中显着低于CON组(P <0.05)。结论:加速康复与肠内营养在肺癌手术患者中的影响很清楚。手术导致压力,增强分解代谢并减少碳水化合物,蛋白质和脂肪的合成,增加患者的营养风险。营养支持与风险肺癌患者的快速轨道微创胸外科相结合,术前营养筛查和评估可以减少术后并发症和住院时间,提高营养指标,免疫力,呼吸功能回收和临床结果,导致社会经济效益。

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