评估头癌患者手术后营养管理的有效养方法:系统性审查
Naomi N S Walter1, Dinesh S Kumar1, Thejesh Ramanandham2
1College of Nursing, Christian Medical College.
概括
早期口服养有助于头癌患者的康复,与输液管养相比,减少住院和并发症. 这支持早期口服摄入作为首选的术后养策略.
科学领域:
- 在瘤学瘤学.
- 术后恢复 术后恢复
- 营养支持 营养支持
背景情况:
- 头癌患者通常需要手术后的营养支持.
- 食干预措施包括早期口服,鼻胃和胃口管食.
- 优化术后恢复对于这些患者至关重要.
研究的目的:
- 系统地审查和比较不同食干预措施的有效性.
- 确定手术后头癌患者的最佳食策略.
- 评估诸如伤口脱光,感染和住院时间等结果.
主要方法:
- 对10项涉及623名参与者的研究进行了系统审查.
- 纳入标准侧重于接受替代养方法的头癌患者.
- 使用Cochrane工具评估偏差风险;数据以结构化表进行综合.
主要成果:
- 早期口服养与较短的住院时间和相似/较低的并发症率有关.
- 与鼻胃养相比,早期口服养显示出更快的恢复.
- 胃口切口养产生了不同的结果,有些感染率更高.
结论:
- 早期口服养似乎有利于增强恢复并最大限度地减少并发症.
- 在头癌患者中,这种策略可能优于输管养.
- 由于研究异质性和小样本大小,需要进行进一步的研究.
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