胃癌围手术期营养治疗药学服务路径的实践

Pharmaceutical Care Pathway of Perioperative Nutritional Therapy for Gastric Cancer

目的:探索胃癌围手术期营养治疗中药学服务的工作模式。方法:选取2017年12月至2022年8月于该院行胃癌手术的患者,药师结合术前及术后营养治疗的不同特点及患者情况,制定出相应的营养治疗药学服务路径,并应用到临床实践中。结果:37例患者按照术前营养治疗药学服务路径实施了营养治疗并顺利进入手术治疗阶段,其中有9例采用口服营养补充方式,9例采用口服营养补充联合补充性肠外营养方式,19例采用全肠外营养方式;72例患者按照术后营养治疗药学服务路径实施了营养治疗并顺利康复出院,其中有22例采用口服营养补充联合补充性肠外营养方式,49例采用肠内营养联合补充性肠外营养方式,1例由口服营养补充联合补充性肠外营养调整为肠内营养联合补充性肠外营养方式。结论:营养治疗药学服务路径在胃癌围手术期治疗中发挥了积极作用。

OBJECTIVE:To explore the working mode of pharmaceutical cares in perioperative nutritional therapy for gastric cancer.METHODS:Patients undergoing gastric cancer surgery at the hospital from Dec.2017 to Aug.2022 were selected,and pharmacists combined different characteristics of preoperative and postoperative nutritional therapy with patients’conditions to develop corresponding pharmacy service pathways for nutritional therapy,which were applied to clinical practice.RESULTS:Thirty-seven patients received nutritional therapy according to the pharmaceutical care pathway of perioperative nutritional therapy and successfully entered the stage of surgical treatment,among them,9 patients were treated with oral nutritional supplement,9 patients were given oral nutritional supplement combined with supplemental parenteral nutrition,and 19 patients received total parenteral nutrition.Seventy-two patients were treated with nutritional therapy according to the pharmaceutical care pathway of perioperative nutritional therapy and were discharged from hospital successfully,among them,22 patients were treated with oral nutritional supplement combined with supplemental parenteral nutrition,49 patients were given enteral nutrition combined with supplemental parenteral nutrition,and 1 patient was adjusted from oral nutritional supplement combined with supplemental parenteral nutrition to enteral nutrition combined with supplemental parenteral nutrition.CONCLUSIONS:Pharmaceutical care pathway of perioperative nutritional therapy plays a positive role in the perioperative treatment of gastric cancer.