蛋白粉高剂在鼻咽癌患者放疗过程中营养支持的效果分析.docVIP

精品论文 参考文献 蛋白粉高剂在鼻咽癌患者放疗过程中营养支持的效果分析 （1.广西科技大学第二附属医院；2.柳州市中医院， 广西 柳州 545005） 中图分类号 R735.3 文献标志码 A 文章编号 1008-0408（2015）2-0025-03 摘 要 目的：探讨高蛋白粉剂在鼻咽癌患者治疗过程中的营养效果。方法：100例初诊放化同期鼻咽癌患者随机分两组，50例个体化口服添加西安立邦高蛋白粉剂营养治疗作干预组，与50例给予普食加肠外营养补充能量对照组比较。结果：(1)干预组放化疗后营养状况明显好于对照组。（2）放化疗前后对照组体重变化要显著大于干预组。（3）干预组的骨髓抑制程度要显著好于对照组。（4）干预组的治疗费用少于对照组。结论：系统的营养干预可有效地改善鼻咽癌患者的营养状况。 关键词 高蛋白粉剂；鼻咽癌；同期放化疗；营养支持；效果分析 Effect of high protein powder on nutritional support during radiotherapy for nasopharyngeal carcinoma patients Chen Liuyun1, Wu Qingzhen1, Li Sufang1,Li Hui2,Wei Yunjie1* (1.The Second Affiliated Hospital of Guangxi University of science and technology，2.Liuzhou traditional Chinese medicine hospital,liuzhou545006,china) Abstract Objective：To investigate the nutritional effect of high protein powder in the treatment of patients with nasopharyngeal carcinoma. Method：100 cases of newly diagnosed patients with nasopharyngeal carcinoma were randomly divided into two groups. Result：(1) 50 cases of individual oral high protein powder added Xian Nippon nutrition therapy intervention group,(2) 50 cases were treated with the energy of the nutrition supplemented by the universal diet and the energy control group, (3)The nutritional status of the intervention group after chemotherapy was better than the control group,The weight change in the control group was significantly higher than that in the intervention group, (4)The bone marrow suppression in the intervention group was significantly better than the control group,The intervention group was less than the control group.Conclusion：The nutritional intervention can effectively improve the nutritional status of patients with nasopharyngeal carcinoma. Key word High protein powder; nasopharyngeal carcinoma; concurrent chemotherapy; nutritional support; effect analysis 恶性肿瘤患者营养不良的发生率达40%～80%，头颈部肿瘤患者营养不良发生率高达88% [1]。鼻咽癌患者由于疾病和治疗的影响，大多食欲不佳，口腔黏膜反应及张口受限等一系列不良反应致使患者无法正常进食或者经口摄食无法满足营养的需要。治疗过程中患者出现紧张、忧虑、恐惧的负面情绪，促进了营养不良的发