胃切除术后胃癌患者的营养咨询:一项随机临床试验
Ah Ron Lee1, Jae-Moon Bae2, Min-Gew Choi3
1Department of Dietetics, Samsung Medical Center, Seoul, Korea.
Journal of gastric cancer
|October 15, 2025
概括
密集的营养咨询没有显著降低减肥在胃癌患者在次总胃切除术后. 标准的饮食建议可能足以用于手术后的营养管理.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 临床试验 临床试验
背景情况:
- 关于强化营养咨询对胃切除术后胃癌患者减肥管理的有效性的证据有限.
- 早期胃癌的子总胃切除术需要有效的营养支持,以减轻术后的体重减轻.
研究的目的:
- 为了评估密集营养咨询 (IC) 与简化咨询 (SC) 相比,在胃癌的子总胃切除术后减少减肥的有效性.
- 确定增强的饮食干预措施是否可以改善胃癌手术后患者的体重维持.
主要方法:
- 一项前性,双盲,随机的临床试验与258名患者进行,这些患者因早期胃癌而接受了亚总胃切除术.
- 患者被随机分配到密集咨询小组或标准简化咨询小组.
- 主要测量结果是从基线到手术后12个月的体重百分比变化.
主要成果:
- 在胃切除术后12个月,在密集咨询和简化咨询组之间没有观察到身体体重百分比变化的统计学上显著差异.
- 群体之间的体重变化平均差异很小 (0.09个百分点),95%的置信区间为-1.43至1.60.
- 两组之间在其他营养因素上没有发现显著差异.
结论:
- 密集的营养咨询似乎没有显著降低减肥在胃癌患者的胃切除术后.
- 在这种患者群体中,标准的饮食咨询可能足以进行营养修改.
- 替代或更强烈的营养策略可能需要最佳的体重管理后胃切除术.
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