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Correlation between Nutritional Risk, Corresponding Nutritional Support and Short-term Prognosis and Long-term Survival Time in Patients with Gastric Cancer |
LI Jin |
Department of Oncology, People 's Hospital of Zizhong County , Zizhong ,Sichuan Province, 641200 China |
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Abstract 【Objective】To investigate the relationship between nutritional risk, nutritional support and short-term prognosis and long-term survival time in patients with gastric cancer.【Methods】Ninety-five cases of gastric cancer patients were given immediate assessment of nutritional risk after admission, and the status of nutritional support was recorded. The relationship between preoperative nutritional risk, postoperative nutritional support and complications and short-term efficacy was analyzed.【Results】There were 66.32% cases of nutritional risk in 95 patients with gastric cancer (63/95). Among them, 43 patients received nutritional support, accounting for 68.25% (43/63).The nutritional support was performed through parenteral nutrition support (PN) in 18 patients (28.57%), PN and enteral nutrition support (EN) in 25 patients (39.68%);The incidence of complications in patients with nutritional risk of gastric cancer was 42.86%.The mortality rate of 3 year was 31.75%, and 3-year recurrence rate of tumor metastasis was 36.51%, which were higher than those without nutritional risk, 21.88%, 12.5%, 15.63%, and the difference was significant (P<0.05).Patients with nutritional risk and nutritional support got higher objective relief rate than those with non nutritional supporters.The complication rate, the 3 year mortality rate, the 3 year recurrence and metastasis rate were lower than those with nutritional risk but without nutritional support, and the difference was significant (P<0.05).【Conclusion】Preoperative nutritional risk assessment and nutritional support can significantly reduce the incidence of complications and improve prognosis in patients with gastric cancer.
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Received: 23 December 2016
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[1]姚乐,康凯,安毅.不同营养支持治疗对胃肠道肿瘤术后患者疗效的影响[J].医学临床研究,2015,32(8):1574-1576. [2]薛丹凤,李湘红,李大鹏,等.营养支持治疗对终末期恶性肿瘤患者的临床应用价值[J].西部医学,2016,28(9):1282-1285. [3]王雪郦.在预测新辅助放化疗治疗直肠癌的病理反应中肿瘤体积缩小率优于实体瘤疗效评价标准:一项前瞻性研究结果[J].中国普外基础与临床杂志,2016,23(4):486. [4]黄喜顺,邓立新,邱耀辉,等.早期胃癌筛查血清学指标研究进展[J].临床误诊误治,2016,29(8):109-116. [5]周婉,许勤,言克莉,等.改良版患者自评主观整体营养评估量表在消化道肿瘤化疗患者的适用性评价[J].护理学杂志,2015,30(1):20-22. [6]刘佳,许建国,邵建屏,等.胃肠外科住院患者营养风险筛查及营养支持[J].医药导报,2016,35(1):89-92. [7]Lochs H,Pichard C,Allison SP.Evidence supports nutritional support[J].Clin Nutri,2006,25(2):177-179. [8]Malbrain ML,Chiumello DP,Wilmer A,et al.Prevalence of intra-abdominal hypertension in critically ill patients: a multicentre epidemiological study.Intensive Care Med[J].Intensi Care Med,2004,30(5):822-829. [9]肖永彪,贺宇琴.结直肠癌各分期的营养风险评分和相应营养支持与术后并发症的关系分析[J].医学临床研究,2016,33(6):1236-1238. [10]Hill A,Kiss N,Hodgson B,et al.Associations between nutritional status,weight loss,radiotherapy treatment toxicity and treatment outcomes in gastrointestinal cancer patients.[J].Clin Nutr,2011,30(1):92-98. |
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