鼻饲营养在食管癌放化疗中应用价值分析

Analysis of the Application Value of Nasal Feeding Nutrition in Radiotherapy and Chemotherapy of Esophageal Cancer

目的:分析鼻饲营养在食管癌放化疗中的应用价值。方法:选择2016年9月-2018年10月入笔者所在医院治疗的98例食管癌放化疗患者,分成A组和B组,各49例。A组行鼻饲营养,B组行口服营养,对比治疗效果。结果:治疗前两组营养状态水平差异无统计学意义(P>0.05),治疗后A祖患者营养状态均优于B组,差异有统计学意义(P<0.05),A组治疗前后营养状态对比差异无统计学意义(P>0.05),B组治疗前后营养状态对比差异有统计学意义(P<0.05)。A组治疗总有效率为97.96%,B组为85.71%,差异有统计科学意义(P<0.05)。A组急性放射性食管炎发生率为32.65%,B组为53.06%,差异有统计学意义(P<0.05)。A组胃肠道不良反应发生率为12.24%,B组为30.61%,差异有统计学意义(P<0.05)。结论:为食管癌放化疗患者行鼻饲营养可改善其营养状态,减少ARE与胃肠道不良反应情况,具有较佳的应用价值。

Objective:To analyze the application value of nasal feeding nutrition in chemoradiotherapy of esophageal cancer.Method:A total of 98 patients with esophageal cancer who received chemotherapy in the hospital from September 2016 to October 2018 were divided into group A and group B,49 cases each.Group A was fed with nasal nutrition,and group B was given oral nutrition.The therapeutic effect was compared.Result:There was no significant difference in nutritional status between the two groups before treatment(P>0.05).After treatment,the nutritional status of group A was better than that of group B(P<0.05).There was no significant difference in nutritional status before and after treatment in group A(P>0.05).There was no significant difference in nutritional status before and after treatment in group A(P<0.05).The total effective rate of treatment in group A was 97.96%,and that in group B was 85.71%,the difference was significant and statistically significant(P<0.05).The incidence of ARE(acute radiation esophagitis) was 32.65% in group group A and 53.06% in group B,there was statistically significant difference between the two groups(P<0.05).The incidence of gastrointestinal adverse reactions was 12.24% in group A and 30.61% in group B,the difference was statistically significant(P<0.05).Conclusion:Nasal feeding for esophageal cancer patients with radiotherapy and chemotherapy can improve their nutritional status,reduce ARE and gastrointestinal adverse reactions,and has better application value.