严重口腔粘膜炎的形成屏障的脂质溶液:在头癌中对口服中断的影响
Takuya Asami1, Mai Kim2, Keisuke Suzuki1
1Department of Oral and Maxillofacial Surgery, and Plastic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa-Machi, Maebashi, Gunma, 371-8511, Japan.
概括
形成屏障的脂质溶液 (BLS) 在接受治疗的头癌患者中减少了口服中断. 在严重的口腔粘膜炎病例中,BLS的使用还缩短了对腹腔和腹腔营养的需求.
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:
- 口腔粘膜炎 (OM) 是头癌治疗的常见,令人衰弱的副作用.
- 形成屏障的脂质溶液 (BLS) 用于管理OM症状,但它们的有效性需要进一步调查.
- 评估BLS对OM严重程度和患者营养状况的影响对于优化癌症护理至关重要.
研究的目的:
- 评估BLS在减少OM严重程度和临床症状方面的有效性.
- 确定BLS对头癌患者术后营养状况的影响.
- 分析BLS对口服摄入量和营养支持要求的影响.
主要方法:
- 在2012-2021年期间治疗的200名头癌患者的回顾性研究.
- 为了进行比较分析,患者被分为使用BLS和不使用BLS的组.
- 评估的OM严重程度 (CTCAE v4.0),营养指数,以及对亲肠道 (PN) 或肠道营养 (EN) 的需求.
主要成果:
- BLS的使用与明显更短的口服摄入中断相关,即使辐射剂量更高 (p<0.001).
- 在3级OM患者中,BLS使用者经历了PN (32 vs. 75天,p<0.001) 和EN (26 vs. 47天,p=0.034) 的较短持续时间.
结论:
- 在头癌患者中,BLS的应用与减少口服摄入中断有关.
- 使用BLS可以减少营养支持的持续时间,包括PN和EN,对于患有严重OM的患者.
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