Effect of personalized nutritional support during perioperative period on postoperative recovery of patients with oral malignant tumor undergoing radical mastectomy and simultaneous reconstruction
10.3760/cma.j.cn211501-20191231-03893
- VernacularTitle:围手术期个性化营养支持对口腔恶性肿瘤根治同期修复重建患者术后恢复的效果观察
- Author:
Jingjing YE
1
;
Xingfang HE
;
Zhumei LIN
;
Yanqiong ZHAO
;
Shuai WANG
;
Qiuyu HUANG
Author Information
1. 中山大学附属口腔医院口腔颌面外科 广东省口腔医学重点实验室，广州 510055
- From:
Chinese Journal of Practical Nursing
2020;36(31):2455-2460
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effect of personalized nutritional support on postoperative rehabilitation and nutritional status in patients undergoing radical mastectomy and reconstruction of oral malignant tumor.Methods:Eighty-eight patients with oral malignant tumor admitted from January 2018 to December 2018 in Hospital of Stomatology, Sun Yat-sen University were divided into two groups according to the time of admission. 40 patients were selected as the study group and 48 patients were selected as the routine group. The routine group was given traditional health education and dietary guidance. In addition to dietary guidance, the study group was given personalized nutritional support according to the patients' body mass index and nutritional status before and after operation, including oral nutritional supplement before operation, personalized nutritional prescription after operation, and increased protein intake according to the nutritional indicators of the patients. The nutritional status, enteral nutrition complications and postoperative rehabilitation were compared between the two groups two weeks after operation.Results:Two weeks after operation, the hemoglobin, total protein, prealbumin were (107.93±16.19) g/L, (68.40±4.87) g/L, (189.02±55.19) mg/L in the study group, and (101.23±14.62) g/L, (63.11±6.42) g/L, (165.75±40.60) mg/L in the routine group, there were significant differences ( t values were -2.037, -4.271, -2.276, all P<0.05). The incidence of malnutrition, wound infection and gastrointestinal complications were 42.50%(17/40), 0, 5.00%(2/40) in the study group and 64.58%(31/48), 16.67%(8/48), 20.83%(10/48) in the control group, there were significant differences( χ2 values were 4.292, 7.333, 4.644, P<0.05). Conclusions:Perioperative personalized nutritional support can effectively improve the nutritional status, reduce enteral nutrition-related complications, improve immunity and reduce the risk of incision infection in patients undergoing radical mastectomy and simultaneous reconstruction of oral malignant tumors, which is helpful to improve the quality of life of patients and is worthy of clinical reference.
