中药辅助营养方案对晚期肿瘤营养状况和免疫功能的影响

Effects of TCM supplementary nutrition program on nutritional status and immune function of advanced tumor

目的:探讨中药辅助营养方案对晚期肿瘤营养状况和免疫功能的影响。方法:以2008年3月-2015年8月我院收治的60例晚期肿瘤患者为研究对象,随机分为两组。对照组30例患者,单纯予静脉营养支持治疗;实验组30例患者,在对照组治疗基础上加用中药治疗。观察两组治疗方案实施15d后患者肱三头肌皮褶厚度、上臂肌围、体重等营养状况评价指标的改善情况及预后营养指数优良率,并观察比较两组患者免疫功能相关指标的变化。结果:实验组患者治疗后TSF为(6.8±0.7)cm、AMC为(23.7±1.5)cm、BW为(47.4±2.5)kg、CD3为(62.4±3.3)%,CD4为(41.0±2.5)%,CD8为(28.9±2.0)%,各项指标均优于对照组。结论:中药辅助营养支持能提高肿瘤患者营养的吸收与利用,可帮助维持患者营养稳定并提高免疫力,对改善患者预后具有积极作用,值得临床推广使用。

Objective:To investigate efficacy of TCM supplementary nutrition program on nutritional status and immune function of advanced tumor.Methods:60patients were divided into2groups,30case in each.The control group was given parenteral nutrition support,and the experimental group was given TCM treatment more.In15days,nutritional status evaluation index,excellent nutrition index and immune function related indicators in two groups were compared.Results:After treatment,in the experimental group,there are(6.8±0.7)cm of TSF,(23.7±1.5)cm of AMC,(47.4±2.5)kg of BW,(62.4±3.3)%of CD3,(41.0±2.5)%of CD4and(28.9±2.0)%of CD8,and better than those in the control group.Conclusion:TCM supplementary nutrition program on nutritional status and immune function of advanced tumor can improve the prognosis,and is worthy of promotion.