Effects of multidisciplinary perioperative nutrition management on nutritional status and postoperative complications in patients with esophageal cancer: A randomized controlled trial
10.7507/1007-4848.202103075
- VernacularTitle:多学科围术期全程营养管理对食管癌患者营养状态和术后并发症影响的随机对照试验
- Author:
Wei WANG
1
;
Jiadai HU
1
;
Juan CHEN
1
;
Ying ZHU
1
;
Mei YANG
1
;
Yong YUAN
1
;
E ZHENG
1
Author Information
1. West China School of Nursing, Sichuan University, Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
- Publication Type:Journal Article
- Keywords:
Multidisciplinary team;
perioperative period;
esophageal cancer;
nutritional status;
complications
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(11):1299-1304
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investige the effects of multidisciplinary perioperative nutrition management on nutrition and postoperative complications of patients with esophageal cancer. Methods A total of 239 patients with esophageal cancer who received elective surgical treatment were included in the study. They were divided into a trial group (120 patients) and a control group (119 patients) according to the random number table method. There were 97 males and 23 females in the trial group with an average age of 63.78±9.13 years, and 94 males and 25 females in the control group with an average age of 64.12±7.91 years. The control group received routine diet management, and the trial group received multidisciplinary perioperative nutrition management. The differences of nutrition and postoperative complications between the two groups were compared. Results The total protein and albumin levels on postoperative days 3 and 7 in the trial group were higher than those in the control group (P<0.05), patients' postoperative anal exhaust time was shorter than that in the control group (P<0.05), the incidence of postoperative gastrointestinal adverse reactions, lung infection, postoperative anastomotic fistula, hypoproteinemia on postoperative days 3 and 7 was lower than that in the control group (P<0.05), and hospitalization cost was lower than that in the control group (P<0.05). Conclusion Multidisciplinary nutrition management can effectively improve the nutrition of patients, promote the rapid recovery of postoperative gastrointestinal function, reduce postoperative complications, and reduce hospitalization costs. It has high clinical reference and promotion value.
