营养支持在老年肿瘤患者围手术期的应用
摘要
目的 探讨营养支持在老年肿瘤患者围手术期的应用价值.方法 回顾分析2011年1月至2012年12月211例60岁以上肿瘤手术患者的临床资料.结果 所有患者恢复较顺利,术后并发症发生率无明显增高,死亡率较高,但非手术并发症引起.结论 合理的、个体化的营养支持可以使老年肿瘤患者安全度过围手术期.
出处
《肿瘤研究与临床》
CAS
2013年第11期779-780,共2页
Cancer Research and Clinic
参考文献9
-
1Kondrup Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition. Mini Nutrt Ass Clin Geristr Med, 2002, 18: 737-757.
-
2Kondrup J, Allison SP, Elia M. rtESPEN guideline for nutrition screening 2002. Clin Nutr, 2003, 22: 415-422.
-
3Hill GL. Malautrition and surgical risk:guideline for nutritional therapy. Ann R Coll Surg, 1987, 69: 263-265.
-
4Studley HO. Percentage weight loss,a basic indieator of surgical risk in patients with chronic peptic ulcer. JAMA, 1936, 106: 458.
-
5Abel RM, Grimes JB, Alonso D, et al. Adverse hemodynamic and ultrastructural changes in dog hearts subjeeted to protein-calorie malnutrion. Am Heart J, 1979, 97: 733.
-
6朱俊,杨裕志,王伦宝.一期切除吻合术治疗梗阻性结肠癌29例.肿瘤研究与临床,2008,20:39-40.
-
7李宁.重视肿瘤综合治疗中营养支持的作用[J].中国实用外科杂志,2002,22(11):641-641. 被引量:29
-
8冯云.原发性气管肿瘤的诊断及外科治疗.肿瘤研究与临床,2008,20:66-68.
-
9朱明炜,唐大年,韦军民,赵旭,叶国栋,龙海空,曹金铎.谷氨酰胺双肽对老年腹部手术后患者内毒素血症及预后和卫生经济学的影响[J].中华老年医学杂志,2005,24(8):585-588. 被引量:13
二级参考文献20
-
1[1]Smale BF, Mullen JL, Buzby GP, et al. The efficacy of nutritional assessment and support in cancer surgery. Cancer, 1981,47(10):2375
-
2[2]Bernstein IL, Sigmundi RA. Tumor anorexia:a learned food aversion. Science, 1980,209(4454):416
-
3[3]Shaw JHF, Humberstone DM, Wolfe RR. Energy and protein metabolism in sarcoma patients. Ann Surg, 1988,207(3):283
-
4[4]Kurzer M. Cancer and protein metabolism. Surg Clin North Am, 1986,66(5):969
-
5[5]Sakurai Y, Klein S. Metabolic alteration in patients with cancer: nutritional implications. Surg Today, 1998,28(3):247
-
6[6]Tchekmedyian NS, Halpert C, Ashley J, et al. Nutrition in advanced cancer: anorexia as an outcome variable and target of therapy. JPEN, 1992,16(6 suppl):88s
-
7[7]Klein S, Koretz RL. Nutrition support in patients with cancer: what do the data really show? Nutr Clin Pract, 1994,9(3):91
-
8[8]Mccarter MD, Gentilini OD, Gomez ME, et al. Preoperative oral supplement with immunonutrients in cancer patients. JPEN, 1998,22(4):206
-
9[9]Gianotti L, Braga M, Vignali A, et al. Effect of route of delivery and formulation of postoperative nutritional support in patients undergoing major operations for malignant neoplasms. Arch Surg,1997,132(11): 1222
-
10[10]Yoshida S, Ohta J, Shirouzu Y, et al. Effect of methionine-free total parenteral nutrition and insulin-like growth factor I on tumor growth in rats. Am J Physiol, 1997,273(1 Pt 1):E10
共引文献40
-
1张师静.老年患者胃手术后肠内营养的临床应用[J].现代医药卫生,2004,20(15):1491-1491.
-
2吴彪,周绍海.肠外营养及肠内营养在胃癌术后病人中的应用[J].华中医学杂志,2005,29(3):209-210. 被引量:1
-
3李国立,李宁,黎介寿.从癌的本质看荷癌病人的临床营养支持[J].中国实用外科杂志,2006,26(5):343-345. 被引量:16
-
4杨炯,毕建威.消化道肿瘤病人围手术期营养支持[J].肠外与肠内营养,2006,13(3):184-187. 被引量:19
-
5黄海,阮灿平,王强.谷氨酰胺强化TPN对结直肠癌病人术后营养及免疫功能的影响[J].外科理论与实践,2006,11(3):248-250. 被引量:4
-
6褚卫建,陈海平,周乐平.老年大肠癌患者围术期营养支持的意义[J].现代中西医结合杂志,2006,15(14):1953-1954.
-
7王晓云,黄魏宁,王利一,杨弋,刘芳,肖路延,朱明炜,韦军民.谷氨酰胺对喉癌术后患者内毒素血症和免疫功能的影响[J].中国临床营养杂志,2006,14(4):222-226. 被引量:2
-
8王文文.完全胃肠道外营养在胃癌患者术前的应用及护理[J].现代中西医结合杂志,2007,16(35):5350-5351.
-
9朱明炜.规范化的围手术期肠外和肠内营养支持[J].临床药物治疗杂志,2008,6(2):52-55. 被引量:9
-
10范朝刚,李国立,王绪林,李宁,黎介寿.辅助治疗性营养支持对胃癌致消化道梗阻病人新辅助化疗的作用[J].肠外与肠内营养,2008,15(4):232-234. 被引量:9
-
1窦国祥.高血压的药膳食疗方[J].药膳食疗,2002(7):7-8.
-
2腾跃.慢性肠炎药膳[J].药膳食疗,2002(1):17-17.
-
3叶锦先,谢桂英,陈波.支气管哮喘药膳[J].药膳食疗,2002(1):2-5.
-
4王敏.痛经的药膳食疗方[J].药膳食疗,2002(1):28-29.
-
5陈雪寒.血小板减少吃什么?[J].药膳食疗,2002(3):18-18.
-
6诚北.辅助治疗不孕症药膳数款[J].药膳食疗,2002(1):27-27.
-
7梁兆松.向肾炎患者荐妙方[J].药膳食疗,2002(5):9-9.
-
8谭鹏飞.肝癌的药膳治疗[J].药膳食疗,2002(7):14-15. 被引量:1
-
9容小翔.糯米药膳善治贫血[J].药膳食疗,2002(1):20-20.
-
10谭鹏飞.脑肿瘤食疗药膳[J].药膳食疗,2002(1):24-25.