[为食道切除癌症患者提供外科营养和康复治疗]
1Department of Gastroenterlogic and Hepato-biliary-pancreatic Surgery, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Kyobu geka. The Japanese journal of thoracic surgery
|December 6, 2023
概括
术后营养治疗与康复相结合,改善了患者的治疗结果. 多学科的团队方法确保有效实施这些计划,以获得更好的营养和肌肉质量.
科学领域:
- 老年学是一门学科.
- 营养科学 营养科学
- 康复医学 康复医学 康复医学
背景情况:
- 术后营养治疗和康复对于患者的康复至关重要.
- 预计将对营养,肌肉质量和炎症产生协同效应.
- 有效的实施需要一个多学科的外科操作团队.
研究的目的:
- 概述一个综合的术后营养康复计划.
- 强调协调,多学科方法的重要性.
- 详细说明营养和身体干预的进展情况.
主要方法:
- 由营养学家领导的营养指导和目标摄入量建立.
- 如果摄入量不足,应考虑使用输卵管或皮肤内镜胃口术 (PEG).
- 术前的肌肉强化和术后的运动 (咳,站立,步行训练).
- 通过管肠静脉管进行肠道营养,在光镜检查后恢复口服.
- 运动后分支链氨基酸的使用.
主要成果:
- 结构化的营养支持从术前门诊访问到术后护理.
- 从第一天开始逐步进行体力康复 (床上炼) 到病房培训.
- 从手术前阶段到术后阶段的护理无过渡.
结论:
- 一个综合的术后营养康复计划可以改善患者的康复.
- 多学科的团队协作对于计划的成功至关重要.
- 从手术前到手术后的持续,协调的护理至关重要.
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