多维康复评估指导全程化营养管理在肝癌切除术患者中的应用

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中文摘要：目的:探讨多维康复评估指导全程化营养管理在肝癌切除术患者中的应用效果。方法:选取 2021 年 3 月 1 日～2023 年3 月 31 日收治的 96 例肝癌切除术患者作为研究对象，利用统计学软件生成随机序列后分为对照组和观察组各 48 例;对照组实施常规营养管理，观察组基于多维康复评估实施全程化营养管理。比较两组手术前后肝功能指标[包括谷草转氨酶(AST)、谷丙转氨酶(ALT)、总胆红素(TBIL)]，炎性因子[包括白细胞(WBC)、炎性反应蛋白(CRP)]，蛋白水平[包括前白蛋白(PA)、白蛋白(ALB)、转铁蛋白(TF)]及生活质量[采用癌症患者生存质量核心问卷(QLQ-C30)]。结果:术后第 5、10 天，观察组AST、ALT、TBIL水平及WBC、CRP水平均低于对照组(P<0。05);术后第 7 天，观察组PA、ALB、TF水平均高于对照组(P<0。05);观察组QLQ-C30 评分优于对照组(P<0。05)。结论:针对肝癌切除术患者采取多维康复评估指导全程化营养管理，有助于改善患者术后肝功能指标、降低炎症反应水平，促进蛋白摄入，提高生活质量。

外文标题：Application of Multi-dimensional Rehabilitation Assessment Guidance for Comprehensive Nutritional Management in Patients Undergoing Liver Cancer Resection

外文摘要：Objective:To explore the effect of multi-dimensional rehabilitation assessment guidance for comprehensive nutritional man-agement in patients undergoing liver cancer resection.Methods:All 96 liver cancer resection patients admitted from March 1,2021 to March 31,2023 were selected as the research subjects,and they were divided into control group and observation group with 48 cases by using ran-dom sequences generated with statistical software.The control group implemented routine nutritional management,while the observation group implemented comprehensive nutritional management based on multi-dimensional rehabilitation assessment.The control group imple-mented routine nutritional management,while the observation group implemented comprehensive nutritional management for patients based on multidimensional rehabilitation assessment.The liver function indicators including aspartate aminotransferase(AST),alanine amin-otransferase(ALT),total bilirubin(TBIL),inflammatory factor levels including white blood cells(WBC),C-reactive protein(CRP),pro-tein levels including prealbumin(PA),albumin(ALB),transferrin(TF),and quality of life using the EORTC core quality of life question-naire(QLQ-C30)were compared between two groups preoperative and postoperative.Results:On the 5th and 10th day after surgery,the lev-els of AST,ALT,TBIL,WBC,and CRP in the observation group were lower than in the control group(P<0.05).On the 7th day after sur-gery,the levels of PA,ALB,and TF in the observation group were higher than those in the control group(P<0.05).The scores of QLQ-C30 in the observation group were better than those in the control group(P<0.05).Conclusion:Adopting multi-dimensional rehabilitation as-sessment guidance for comprehensive nutritional management in patients undergoing liver cancer resection can help improve postoperative liver function indicators,reduce inflammatory response levels,promote protein intake,and improve quality of life.

外文关键词：

Liver cancer resectionMulti-dimensional rehabilitation assessmentComprehensive nutrition managementQuality of life

作者：

何亭华、伍建辉、蔡风芬、陈雪娇

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作者单位：

厦门大学附属中山医院福建厦门 361003

关键词：

肝癌切除术多维康复评估全程化营养管理生活质量

出版年：

2024

DOI：