Influences of optimization of nutritional support and parenteral nutrition in elderly patients after hepatic carcinoma surgery on clinical outcomes
10.3760/cma.j.issn.1674-635X.2010.03.008
- VernacularTitle:优化营养支持手段与单纯肠外营养对老年肝癌切除患者术后临床结局的影响
- Author:
Jinghai SONG
;
Mingwei ZHU
;
Junmin WEI
;
Lei LI
;
Jifang MEN
- Publication Type:Journal Article
- Keywords:
Elderly patient;
Hepatic carcinoma;
Nutrition risk screening;
Enteral nutrition;
Parenteral nutrition;
Clinical outcome
- From:
Chinese Journal of Clinical Nutrition
2010;18(3):158-161
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical outcomes after the optimization of nutrition support in elderly patients after hepatic carcinoma surgery.Methods The clinical data of 52 elderly patients with hepatic carcinoma in Beijing Hospital were collected and analyzed from 2007 to 2009(research group).Nutritional Risk Screening(NRS)2002 was applied for the nutrition risk screening at admission.NRS 2002 score≥3 was regarded as at nutritional risk.Enteral nutrition(EN)or EN combined with parentoral nutrition(EN+PN)supports were provided during the peri-operative stage.The control group included 30 patients from 2005-2007 under the same conditions with rescareh group but only received PN supports pest-operatively.Nutritional parameters,complications,lengh of hospital stay,and healthcare expenditures were analyzed.Results Body weight and plasma albumin were no significantly different in two groups(P>0.05)by the 7th post-operative day.The incidence of infection-relatod complications and length of hospital stay were significantly lower in research group than in control group (P<0.05).Conclusions Nutrition risk screening should be performed for the elderly patients with hepatic carcinoma after admission.Optimization of peri-operative nutrition support can reduce complications and improve the clinical outcomes.
