Application of progressive nutrition guide sheet in postoperative enteral nutrition for patients with oral cancer
10.3760/cma.j.cn115822-20201201-00253
- VernacularTitle:渐进式营养指引单在口腔癌患者术后肠内营养的应用研究
- Author:
Tian ZHANG
1
;
Dan QIAO
;
Yan ZHANG
;
Yuan TANG
;
Xiongtao YANG
;
Jie HE
;
Xianhong LAI
;
Liping XIAO
;
Dan LI
;
Guorong WANG
;
Tao YU
Author Information
1. 电子科技大学医学院附属肿瘤医院/四川省肿瘤医院头颈外科中心，成都 610041
- Keywords:
Nutrition guide sheet;
Oral cancer;
Enteral nutrition
- From:
Chinese Journal of Clinical Nutrition
2021;29(1):22-29
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of applying individualized progressive nutrition guide sheet in postoperative enteral nutrition (EN) for patients with oral cancer.Methods:Using convenient sampling method, 40 oral cancer patients admitted to Sichuan Cancer Hospital from November 2017 to October 2018 were selected as the control group, and 46 from November 2018 to October 2019 were selected as the observation group. Both groups received EN support but the observation group were applied with progressive nutrition guide sheet. The pre- and post-operative body weight, nutrition related indicators, gastrointestinal symptoms, proportion of patients achieving daily target energy intake, patient/family satisfaction and other indicators were compared between the two groups.Results:There were significant differences in preoperative potassium, total protein and albumin at 7 days after operation, prealbumin at 3 and 7 days after operation, potassium at 3 days after operation and sodium at 3 days after operation between the two groups( Z=4.963, P<0.01; Z=5.094, P<0.01; Z=-2.022, P<0.05; Z=4.048, P<0.01; Z=2.14, P<0.05, Z=-6.04, P<0.01, Z=-7.13, P<0.01). The dynamic changes of potassium and sodium in the two groups were compared before operation, 3 days after operation and 7 days after operation ( F=30.20, F= 118.51, all P<0.01). There were significant differences in incidence of abdominal pain, abdominal distension and diarrhea between the two groups ( χ2=6.91, P=0.009, χ2=10.36, P=0.001, χ2=4.71, P=0.03). There were also significant differences in the proportion of patients achieving daily target energy intake at 1 day, 2 days, 3 days, 4 days, 5 days, and 6 days after operation between the two groups ( χ2=41.77, χ2=45.09, χ2=45.71, χ2=40.53, χ2=29.97, χ2=6.11, all P<0.01). Conclusion:The application of progressive nutrition guidelines in early postoperative EN support for patients with oral cancer can help to improve postoperative nutritional status, avoid potassium, sodium and electrolyte disturbance, alleviate postoperative gastrointestinal symptoms, improve the achievement of daily target energy intake and patient/family satisfaction, and promote disease recovery.
