全程营养管理对老年膀胱癌患者加速康复的影响

IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY Experimental Aging Research Pub Date : 2023-10-01 DOI:10.26599/agr.2023.9340014
Wenwen Fu, Lina Zhang
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引用次数: 0

摘要

目的探讨全病程营养管理对老年膀胱癌患者加速康复的作用。结果126例老年膀胱癌患者完成研究(非加速康复= 63;Ncontrol = 63)。加速康复组患者白蛋白、前白蛋白、血红蛋白水平均显著高于对照组(P <0.05),加速康复组的白蛋白补充量、ICU监护时间、住院费用均低于对照组,差异有统计学意义(P <0.05)。加速康复组患者术后并发症发生率低于对照组。两组在身体组成、体重指数(BMI)、实际体重、体脂体积、体脂百分比、游离脂肪重量、内脏脂肪面积、基础代谢率、总水蛋白重量比、腰围、相位角(P >加速康复组骨骼肌、体内水分、细胞内水分、蛋白质、细胞质量的损失程度均低于对照组(P <0.05)。结论对老年膀胱癌患者进行全程营养管理,对加速患者康复有积极作用。方法126例老年膀胱癌患者随机分为加速康复组(加速康复手术组)和对照组(传统治疗组)。记录基线值。入院后记录两组患者术后血液学指标(白蛋白、前白蛋白、血红蛋白)及术后相关指标(白蛋白补充量、术后并发症发生率、ICU监护时间、住院总费用),同时测量两组患者体成分差异。
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Effect of whole-course nutrition management on accelerated recovery in elderly patients with bladder cancer
Objective The purpose of this article is to explore the effect of whole-course nutrition management on accelerated recovery in elderly patients with bladder cancer. Results 126 elderly patients with bladder cancer completed the study (Naccelerated rehabilitation = 63; Ncontrol = 63). The levels of albumin, prealbumin, and hemoglobin accelerated rehabilitation group were significantly higher than those in control group (P < 0.05), the albumin supplementation amount, intensive care unit (ICU) monitoring time, and hospitalization cost in the accelerated rehabilitation group were lower than those in the control group, with statistically significant differences (P < 0.05). The postoperative complication rate of patients in the accelerated rehabilitation group was lower than that of the control group. There was no significant difference between the two groups in body composition body mass index (BMI), actual weight, body fat volume, body fat percentage, fat free weight, visceral fat area Basal metabolic rate, ratio of total body water to protein weight, waist circumference, phase angle (P > 0.05), The degree of loss of skeletal muscle, body water, intracellular water, protein, and body cell mass in accelerated rehabilitation group was lower than that in control group (P < 0.05). Conclusion The whole-course nutrition management had a positive effect on accelerated recovery in elderly bladder cancer patients. Methods 126 elderly patients with bladder cancer were randomly divided into an accelerated rehabilitation group (accelerated recovery surgery group) and a control group (traditional treatment group). The baseline values were registered. After admission, the postoperative hematological indicators (albumin, prealbumin, and hemoglobin), and postoperative related indicators (albumin supplementation, postoperative complication rate, ICU monitoring time, and total hospitalization costs) were recorded to simultaneously measure the differences in body composition between two groups of patients.
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来源期刊
Experimental Aging Research
Experimental Aging Research 医学-老年医学
CiteScore
3.60
自引率
0.00%
发文量
68
审稿时长
>12 weeks
期刊介绍: Experimental Aging Research is a life span developmental and aging journal dealing with research on the aging process from a psychological and psychobiological perspective. It meets the need for a scholarly journal with refereed scientific papers dealing with age differences and age changes at any point in the adult life span. Areas of major focus include experimental psychology, neuropsychology, psychobiology, work research, ergonomics, and behavioral medicine. Original research, book reviews, monographs, and papers covering special topics are published.
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