Nutrition support during stress response period after tumor extirpation in middle-aged and elderly patients with oral and maxillofacial tumors
10.3760/cma.j.issn.1674-635X.2009.01.013
- VernacularTitle:中老年口腔颌面部肿瘤术后患者应激反应期的营养支持
- Author:
Mei LI
;
Jun SHEN
- Publication Type:Journal Article
- Keywords:
Middle-aged and elderly patients;
Tumor extirpation;
Stress response period;
Nutrition support
- From:
Chinese Journal of Clinical Nutrition
2009;17(1):45-48
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the nutrition support during stress response period after tumor ex-tirpation in middle-aged and elderly patients with oral and maxillofacial tumors. Methods Sixty patients who had undergone maxillofacial tumor extirpation were randomly divided into nutrition therapy group (n = 35) and control group ( n = 25 ). Patients in nutrition therapy group received enteral nutritional treatment, while patients in control group fed themselves. The nutritional status of the two groups before operations were evaluated with Concise Nutritional Assessment Indicators of human body measurement and biochemistry were used to evaluate the nutritional conditions. The incidence of post-operational complications and recovery time ( from the operation to discharge) were analyzed. Results The weight and arm muscle circumference in the nutrition therapy group significantly decreased after operations (P <0. 05). However, in the control group, all the nutritional indica-tors except the total lymphocyte count were significantly lower than the baseline levels after operations (P < 0. 05 ) ; particularly, of the average body weight decreased by about 6 kg. The incidence of complications in the nutrition therapy group was significantly lower than that in control group (5. 7% vs. 12. 0% , P <0. 05). The recovery time was significantly longer in the control group than that in the nutrition therapy group [ (28. 62± 2.38) vs. (22. 76± 3. 24) d, P < 0. 01 ]. Conclusion The nutritional support during the stress response period can satisfy the demands of high catabolism after maxillofacial tumor extirpation operation in middle-aged and elderly patients.
