Preoperative nutritional risk assessment and the effect of nutritional intervention on body composition in patients with liver cancer
Objective:To analyze the effects of preoperative nutritional risk assessment and targeted nutritional intervention on body composition in patients with liver cancer.Methods:A total of 116 patients with liver cancer undergoing surgical treatment from June 2021 to January 2023 were selected for nutritional risk screening.This study was evaluated by scale.They were divided into nutritional risk group(score≥3 points)and normal nutrition group(score<3 points)according to the evaluation results,and the differences in nutritional indexes,laboratory indexes and body composition indexes were compared between the two groups.The observation group was given personalized nutrition intervention,and the changes of each index before and after the intervention were compared.Finally,the complication difference between the two groups was compared.Results:(1)Body mass,BMI,serum nutrition index and fat content of nutrition risk group were lower than those of normal nutrition group,prothrombin time was longer than that of normal nutrition group,edema index was higher than that of normal nutrition group,the difference was statistically significant(P<0.05);(2)The indexes of nutrition risk group after intervention were better than those before intervention,and the difference was statistically significant(P<0.05);(3)There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusions:Preoperative nutritional risk assessment for patients undergoing liver cancer surgery can provide timely personalized nutritional intervention for patients with malnutrition,improve the body composition of patients,and is expected to reduce the risk of postoperative complications of patients,but it still needs to be confirmed by large sample multi-center studies and even further promotion.