不仅仅是体重:在彻底切除囊术后识别隐藏的营养脆弱性
Jakob Højgaard Hundebøll1, Alberte Fisker Olesen2, Irene Wessel2,3,4
1Clinical Nutrition Center, Department of Transplantation and Digestive Diseases, Rigshospitalet, Copenhagen, Denmark. jakob.hundeboell@regionh.dk.
European journal of clinical nutrition
|December 10, 2025
概括
激进囊切除术患者经历手术后营养不良. 早期的体重变化不会发生.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术营养是指手术营养.
- 术后护理 术后护理
背景情况:
- 激进囊切除术 (RC) 患者面临着重大的营养挑战.
- 营养摄入量和RC后的充足性还没有得到很好的定义.
- 使用了手术后增强恢复 (ERAS) 协议.
研究的目的:
- 预期评估ERAS管理的RC患者的饮食摄入模式和营养状况.
- 为了确定影响营养状况下降的因素后的基质囊切除术.
主要方法:
- 一项前性观察性研究,对25名经过激进囊切除术的患者进行了观察,并使用ERAS进行管理.
- 评估能量和蛋白质摄入量,体重和营养症状.
- 具有和没有鼻胃减压的患者之间的体重减轻的比较.
主要成果:
- 在术后第一周观察到的低能量和蛋白质充足度.
- 最初体重稳定,随后在第14天 (-2.3%) 和第30天 (-5.3%) 显著减肥.
- 需要鼻胃减压的患者体重减轻较大 (-7.2%),与没有 (-3.9%) 的患者相比.
结论:
- 仅仅早期体重轨迹是RC后营养状况的不足指标.
- 包括饮食摄入量,症状和液体平衡在内的全面评估至关重要.
- 个性化,对症状有反应的策略,可能包括补充营养,对于应对营养挑战很重要.
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