食管癌患者围术期营养支持效果观察

目的 观察术前营养状况预知及围手术期营养支持对食管癌患者手术治疗效果.方法 对90例食管癌患者采用随机数字法分为对照组（15例）、术前营养组（25例）、术后营养组（25例）和术前营养＋术后营养组（25例）,观察比较四组患者的围手术期生存质量及术后并发症.结果 术前营养＋术后营养组、术后营养组、术前营养组在总体生活质量均明显优于对照组（t=14.76、15.13、17.87,均P＜0.05）,同时术后并发症发生率较对照组明显减少（Х^2 =9.17、12.13、19.18,均P＜0.05）.结论 术前营养状况预知以及围手术期营养支持能明显改善食管癌患者手术治疗的生存质量,并可显著降低患者术后并发症的发生.

Observation of the effect of perioperative nutritional support for patients with esophageal cancer

Objective To investigate the clinical effect of preoperative nutritional treatment and perioperative nutrition support for the patients with esophageal cancer.Methods According to the digital table,90 patients with esophageal cancer were divided into the control group（15 cases）,preoperative nutrition group（25 cases）,postoperation nutrition group（25 cases）and preoperative nutrition ＋ postoperation nutrition group（25 cases）.The postoperative quality of life and the complications were compared.Results Postoperative quality of life in the preoperative nutrition group,postoperation nutrition group and preoperative nutrition ＋ postoperation nutrition group were all better than that in the control group（t =14.76,15.13,17.87,all P 〈 0.05）.The incidence rate of postoperative complications in patients received nutritional intervention significantly decreased than in the control group（Х^2 =9.17,12.13,19.18,all P 〈 0.05）.Conclusion The preoperative nutrition and postoperation nutrition can improve the postoperative quality of life and reduce the incidence rate of the complications.