自制匀浆膳应用于口腔颌面部恶性肿瘤患者术后营养支持的效果评价

目的观察自制匀浆膳对改善口腔颌面部恶性肿瘤患者术后营养状况的效果。方法将70例患者根据随机数字表分组，实验组36例，鼻饲自制匀浆膳；对照组34例，术后常规饮食护理。收集两组术前1d及术后7d身体测量指标、实验室指标及临床情况。结果两组患者术后体重均出现下降；对照组BMI与握力较自身术前下降；实验组血红蛋白术后高于对照组，对照组自身较术前下降。两组上臂围（AC）、上臂肌围（AMC）、三头肌皮褶厚度（TSF）、营养状况（y值评价）、白蛋白术前与术后组内、组间比较差异均无显著意义。对照组有3例、实验组有2例患者出现腹胀、腹泻，给予调整后症状均缓解。结论自制匀浆膳有助于改善此类患者术后营养状况。

Effect of homemade homogenate meal for postoperative nutritive support for patients with oral and maxiilofacial malignant tumor

Objective To observe the effect of homemade homogenate meal for postoperative nutritional status for patients with oral and maxillofacial malignant tumors. Method 70 patients with oral and maxillofacial malignant tumor were randomly divided into two groups. 36 cases in experimental group were given homemade homogenate meal and 34 cases in control group were given with commercial enteral nutrition and/or selective other food provided by the hospital nutrition department. The nutrition-related indexes were measured before and the seventh day after operation. Result Both of the two groups experienced body weight loss; BMI, grip strength and hemoglobin in con- trol group was decreased compared to itself preoperative; postoperative hemoglobin in the experimental group was increased. The arm circumference（AC）, arm muscle circumference（AMC）, triceps skin fold thickness（TSF）, nu- tritional status（Y value evaluation） and albumin in the two groups showed no significant differences. 2 cases in con- trol group and 1 case in experimental group showed abdominal distention and diarrhea, and all relieved after modula- tion. Conclusion Homemade homogenate meal can reduce gastrointestinal stimulation, and improve the nutritional status for patients with oral and maxillofacial malignant tumors.