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针对营养不良的结肠直肠癌患者手术后康复计划中的针对性手术前营养支持:在未来的单中心队列中,术后的结果与营养良好的患者相比
Nuria Valdés1,2, Lucia Díaz3, Patricia Torrico4
1Endocrinology and Nutrition Department, Hospital Universitario Cruces, Barakaldo, Bizkaia, Spain. nuria.valdes@ehu.eus.
在手术后增强恢复 (ERAS) 计划中,针对营养不良的结直肠癌患者提供针对性的术前营养支持并没有恶化术后结果. 这种选择性营养策略在常规外科手术期间的护理中是有效的.
科学领域:
- 结肠直肠外科手术是什么意思
- 手术瘤学手术瘤学
- 营养科学 营养科学
背景情况:
- 营养不良会对手术结果产生负面影响.
- 针对手术后增强恢复 (ERAS) 途径的有针对性的营养干预措施的证据有限.
- 这项研究调查了在ERAS框架内为营养不良的结直肠癌患者提供手术前营养支持.
研究的目的:
- 评估ERAS计划中的营养不良结直肠癌患者的术前营养支持是否会导致与营养良好患者相比的术后结果.
- 评估选择性营养干预策略的有效性.
主要方法:
- 在ERAS认证医院对187名结直肠癌患者进行前性观察队列研究.
- 使用营养不良普遍查工具和营养不良标准全球领导倡议查营养不良.
- 营养不良患者在手术前接受了个性化的营养咨询和口服补充剂.
主要成果:
- 22.4%的患者被诊断为营养不良.
- 营养不良和营养良好群体之间的30天并发症率或停留时间 (LOS) 没有显著差异.
- 在多变量分析中,营养不良与并发症或延长的LOS没有独立相关.
结论:
- 在ERAS计划中,有针对性的手术前营养支持会产生与营养良好患者相比的术后结果.
- 在术后护理中支持选择性"选和治疗"营养策略.
- 这种方法可以优化结直肠癌患者的康复.
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