口腔颌面部肿瘤病人术前口服营养补充剂的效果观察

Clinical effect of preoperational oral nutrition supplementation in maxillofacial tumor patients

目的 :观察口腔颌面部肿瘤病人术前补充营养的临床效果。 方法 :选择口腔颌面部肿瘤病人 6 0例 ,分成两组 ,试验组术前在常规饮食的基础上加用营养补充剂 (康全饮 )连用 5～ 7天 ;对照组术前给常规饮食 ;术后两组均通过鼻饲管提供肠内营养 (EN)。于术前、术后测定病人的血常规、血浆总蛋白、清蛋白、前清蛋白、淋巴细胞计数。 结果 :术后两组病人检测指标均有明显下降 ,下降的绝对值比有显著性差异。 结论 :口服营养补充剂 (康全饮 )营养均衡、口感好 ,作为术前营养补充剂是安全、有效的 ,有助于预防术后营养不良的发生 。

Objective: To observe the clinical effect of oral nutrition supplementation for maxillofacial tumor patients before operation. Methods: 60 patients who suffered from maxillofacial neoplasm were divided into two groups. In observation group, on basis of routine diet, oral nutrition supplements (Fortisip) had been added for 5～7 days before operation. In control group, only routine diet had been supplied. After operation, the two groups were all supplied with tube feeding. The blood routine test, plasma total protein, albumin, pre albumin and lymphocyte count were measured in all patients. Results: Every biochemical item reduced significantly after operation and no statistical significance was found between groups. But the absolute decreasing values had significant difference between the groups. Conclusions: Oral nutrition supplements (Fortisip) contains balanced nutrients and tastes well. It is safe and effective to use a nutritional supplement, being helpful to prevent malnutrition and to improve the immune function in perioperative period of patients with maxillofacial neoplasm.