Sequential Enteral and Parenteral Nutrition Support Assisted by Nutritional Risk Screening Improves Outcome in the Colorectal Cancer Patients Undergoing Radical Surgery

IF 0.4 4区 医学 Q4 NUTRITION & DIETETICS Current Topics in Nutraceutical Research Pub Date : 2023-04-07 DOI:10.37290/ctnr2641-452x.21:159-162
Jing Gao, Tiansheng Xu, Li’an Xu, C-W Mao, Yujin Feng
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Abstract

We have examined the influence of sequential enteral and parenteral nutrition support, assisted by nutritional risk screening, on colorectal cancer patients undergoing radical surgery. This cohort included 100 colorectal cancer patients receiving radical surgery in Zhejiang Quzhou People’s Hospital between May 2021 and April 2022. The control group received treat¬ment with early enteral nutrition support only. The experimental group, however, received sequential enteral and parenteral nutrition support, assisted by nutritional risk screening. The indicators of nutrition adequacy, gastrointestinal function, early postoperative complications, and quality of life were compared. The albumin, hemoglobin, and albumin levels presented no difference between the two groups before treatment. After treatment, these indicators in the experimental group were elevated relative to those in the control group. The time of bowel sound recovery, the time of first anal exhaustion, time of first defecation, and the incidence of surgical complications in the experimental group decreased relative to those in the control group. A 36-item short-form health survey showed an elevation in the experimental group relative to the control group. Application of sequential enteral and parenteral nutritional support assisted by nutritional risk screening in colorectal cancer patients has a significant effect, which helps improve postoperative nutritional status, facilitate gastrointestinal function recovery, reduce incidence of complications, and accelerate postoperative recovery.
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营养风险筛查辅助的连续性肠外营养支持改善癌症大肠癌根治术患者的预后
我们研究了在营养风险筛查的辅助下,顺序肠内和肠外营养支持对癌症根治性手术患者的影响。该队列包括2021年5月至2022年4月在浙江省衢州市人民医院接受根治性手术的100名癌症患者。对照组仅接受早期肠内营养支持治疗。然而,实验组接受了连续的肠内和肠外营养支持,并辅以营养风险筛查。比较营养充足率、胃肠功能、术后早期并发症和生活质量等指标。治疗前两组的白蛋白、血红蛋白和白蛋白水平无差异。治疗后,实验组的这些指标相对于对照组有所升高。与对照组相比,实验组的肠鸣音恢复时间、首次肛门衰竭时间、首次排便时间和手术并发症发生率均有所下降。一项36项的简短健康调查显示,与对照组相比,实验组的健康状况有所改善。营养风险筛查辅助肠外营养支持在癌症大肠癌患者中的应用效果显著,有助于改善术后营养状况,促进胃肠功能恢复,降低并发症发生率,加快术后恢复。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
36
审稿时长
>12 weeks
期刊介绍: Current Topics in Nutraceutical Research is an international, interdisciplinary broad-based peer reviewed scientific journal for critical evaluation of research on chemistry, biology and therapeutic applications of nutraceuticals and functional foods. The major goal of this journal is to provide peer reviewed unbiased scientific data to the decision makers in the nutraceutical and food industry to help make informed choices about development of new products. To this end, the journal will publish two types of review articles. First, a review of preclinical research data coming largely from animal, cell culture and other experimental models. Such data will provide basis for future product development and/or human research initiatives. Second, a critical evaluation of current human experimental data to help market and deliver the product for medically proven use. This journal will also serve as a forum for nutritionists, internists, neurologists, psychiatrists, and all those interested in preventive medicine. The common denominator of all of the topic to be covered by the journal must include nutraceuticals and/functional food. The following is an example of some specific areas that may be of interest to the journal. i) Role of vitamins, minerals, antioxidants and phytonutrients on cardiovascular health, cancer, diabetes, ocular health, mental health, men’s health, women’s health, infant nutrition, ii) Role of herbals on human health, iii) Dietary supplements and sleep, iv) Components of diet that may have beneficial effect on human health, v) regulation of apoptosis and cell viability, vi) Isolation and characterization of bioactive components from functional foods, vii) Nutritional genomics, and viii) Nutritional proteomics.
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