肿瘤化疗患者肠内营养支持对患者营养状态和生活质量影响.docVIP

肿瘤化疗患者肠内营养支持对患者营养状态和生活质量影响 　　【摘要】 目的 探究肿瘤化疗患者肠内营养支持对患者营养状态和生活质量的影响。方法 160例肿瘤化疗患者， 按照随机分配原则分成对照组与观察组， 各80例。两组患者均接受常规的化疗治疗， 对照组根据患者的营养状态给出提示， 观察组给予患者肠内营养乳剂支持治疗。比较两组患者治疗后的营养状态和生活质量。结果 治疗后， 观察组的白蛋白（ALB）水平高于对照组， 差异有统计学意义（P0.05）。观察组的总体主观评分法（PG-SGA）定性为A的比例为90.0%， 明显高于对照组的52.5%， 差异有统计学意义（P0.05）。观察组的体质量指数（BMI）18.5 kg/m2的比例为3.8%， 明显低于对照组的20.0%， 差异有统计学意义（P0.05）。观察组患者SF-36综合评分为（84.36±12.41）分， 明显优于对照组的（58.74±15.46）分， 差异有统计学意义（P0.05）。结论 肿瘤化疗患者肠内营养支持可改善患者营养状态， 提高患者的生活质量， 可在临床中推广应用。 　　【关键词】 肿瘤化疗；肠内营养；营养状态；生活质量 　　DOI：10.14163/j.cnki.11-5547/r.2017.07.029 　　Influence by enteral nutrition support in tumor chemotherapy patients on their nutritional status and quality of life LI Ying， WANG Ji-kun， LI Wei. First Affiliated Hospital of Jinzhou Medical University， Jinzhou 121000， China 　　【Abstract】 Objective To investigate influence by enteral nutrition support in tumor chemotherapy patients on their nutritional status and quality of life. Methods A total of 160 patients in tumor chemotherapy were randomly divided into control group and observation group， with 80 cases in each group. Both groups received conventional chemotherapy， and the control group received guidance in accordance with nutritional status in patients， while the observation group received enteral nutrition emulsion support for treatment. Comparison was made on nutritional status and quality of life in patients after treatment. Results After treatment， the observation group had higher albumin （ALB） level than the control group， and their difference had statistical significance （P0.05）. The observation group had proportion of qualitative A in patient-generated subjective global assessment （PG-SGA） as 90.0%， which was obviously higher than 52.5% in the control group， and their difference had statistical significance （P0.05）. The observation group had proportion of body mass index （BMI） 18.5 kg/m2 as 3.8%， which was much lower than 20.0% in the control group， and their difference had statistical significance （P0.05）. Th