癌症患者诊断患有恶性肠道阻塞的患者的摄入量和营养充足性:随机试验的二次分析
Cynthia A Thomson1, Kathryn B Arnold2, Garnet Anderson3
1Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona.
超过一半的患有恶性肠道阻塞 (MBO) 的患者可以口服饮食,但他们的营养摄入量往往不足. 营养支持应考虑个体的耐受性和患者的愿望.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
背景情况:
- 恶性肠道阻塞 (MBO) 显著影响晚期癌症患者的口服摄入.
- 关于MBO患者口服摄入能力和营养充足度的数据有限.
- 了解这些因素对于开发有效的营养支持至关重要.
研究的目的:
- 描述MBO治疗的患者口服摄入能力.
- 为了估计MBO患者饮食的营养充足度.
- 根据治疗类型 (手术与非手术) 分析摄入量.
主要方法:
- 从一个比较有效性试验 (S1316) 的饮食摄入数据的二次分析.
- 使用了电话调查和24小时饮食回忆 (USDA多通方法).
- 从2015年至2020年收集的数据来自美国和拉丁美洲的网站.
主要成果:
- 分析了199名符合条件的MBO患者.
- 在第1周,51%的人吃了固体食物,34%的人没有口服,13%的人接受了肠道养.
- 在13周,82%的幸存者食用固体食物,但平均营养摄入量一般不够.
结论:
- 超过一半的MBO患者报告了一些口服摄入.
- 营养治疗应根据患者的饮食耐受性和偏好进行个性化.
- 解决营养不足对于MBO的支持性护理至关重要.
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