Effects of continuous dietary guidance on nutritional status of patients after total gastrectomy

WANG Zhi; RAO Yun; XU Ping; LIU Yuan

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Effects of continuous dietary guidance on nutritional status of patients after total gastrectomy

更新时间：2023-05-22

- Effects of continuous dietary guidance on nutritional status of patients after total gastrectomy
- null Issue 6, Pages: 499(2019)
- 作者机构：
  
  陆军军医大学第一附属医院全军普通外科中心，微创胃肠外科中心,重庆,400038
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2019，
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WANG Zhi, RAO Yun, XU Ping, et al. Effects of continuous dietary guidance on nutritional status of patients after total gastrectomy. [J]. null (6):499(2019)
DOI：

WANG Zhi, RAO Yun, XU Ping, et al. Effects of continuous dietary guidance on nutritional status of patients after total gastrectomy. [J]. null (6):499(2019) DOI：

摘要

目的探讨延续饮食指导对全胃切除术后患者营养状态的影响。方法选取2017年1月至2018年6月在陆军军医大学第一附属医院行全胃切除术的50例胃癌患者

按照术后饮食指导方法的不同将患者分为对照组和观察组。对照组25例患者术后予以常规饮食指导，观察组25例患者术后予以延续饮食指导，比较2组患者术前和术后第1、3、6个月营养指标。结果 2组患者术前血清前白蛋白、白蛋白、免疫球蛋白、血红蛋白及淋巴细胞计数、BMI差异无统计学意义（P>0.05），2组患者术后1个月时白蛋白及血红蛋白水平较术前明显降低，观察组患者术后6个月时血清前白蛋白水平及术后第3、6个月时血红蛋白水平较对照组高，差异均具有统计学意义（P<0.05）。结论通过6个月的延续饮食指导能够改善全胃切除患者的营养状态。

Abstract

Objective To explore the effect of continuous dietary guidance on nutritional status of patients after total gastrectomy.Methods A total of 50 patients with gastric cancer who underwent total gastrectomy in first hospital affiliated to army medical university from January 2017 to June 2018 were selected and divided into control group and observation group according to postoperative dietary guidance method.Twentyfive cases in control group were given routine dietary guidance and 25 cases in observation group were given continuing dietary guidance.The nutritional indexes of the two groups were compared preoperatively and postoperatively at 1

3 and 6 months.Results There was no significant difference in serum prealbumin

albumin

immunoglobulin

hemoglobin

lymphocyte count

BMI between the two groups before operation（P>0.05）.The levels of albumin and hemoglobin in the two groups decreased significantly 1 month after operation compared with those before operation.The serum prealbumin level in the observation group was higher than that in the control group at 6 months postoperatively

and the hemoglobin level in the observation group was higher than that in the control group at 3 months and 6 months postoperatively

the differences were significant（P<0.05）.Conclusion The nutritional status of patients with total gastrectomy can be improved by continuous dietary guidance for 6 months.

关键词

延续护理饮食指导全胃切除营养胃癌

Keywords

continuing caredietary guidancetotal gastric resectionnutritiongastric carcinoma

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