营养支持小组对于食管癌同步放化疗患者作用的研究

丛明华; 李淑娈; 程国威; 代忠; 刘金英; 宋晨鑫; 邓颖冰; 刘微微; 刘雪辉; 李啸宇; 卢世琰; 于雷

doi:10.3969/j.issn.1000-8179.20141364

营养支持小组对于食管癌同步放化疗患者作用的研究

doi: 10.3969/j.issn.1000-8179.20141364

丛明华^①,,
李淑娈^②,
程国威^③,
代忠^②,
刘金英^④,
宋晨鑫^①,
邓颖冰^①,
刘微微^②,
刘雪辉^②,
李啸宇^②,
卢世琰^⑤,
于雷^①, ,

①.
中国医学科学院肿瘤医院综合科（北京市 100021）
②.
北京市朝阳区桓兴肿瘤医院综合科（北京市 100022）
③.
北京市朝阳区桓兴肿瘤医院放疗科（北京市 100122）
④.
中国医学科学院肿瘤医院营养科（北京市 100021）
⑤.
协和医科大学北京协和医院营养科（北京市 100730）

详细信息

作者简介:
丛明华专业方向为肿瘤内科 E-mail:doccong@163.com

通讯作者:

Lei YU; E-mail:doccong@163.com

计量
- 文章访问数: 17
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- 被引次数: 0
出版历程
- 收稿日期: 2014-07-15
- 修回日期: 2014-08-20
- 刊出日期: 2020-12-29

Roles of nutrition support team for esophageal carcinoma patients treated with concurrent chemoradiotherapy

CONG Minghua^{①
,},
LI Shuluan^②,
CHENG Guowei^③,
DAI Zhong^②,
LIU Jinying^④,
SONG Chenxin^①,
DENG Yingbing^①,
LIU Weiwei^②,
LIU Xuehui^②,
LI Xiaoyu^②,
LU Shiyan^⑤,
YU Lei^{①
, ,}

①.
Department of Comprehensive Therapy, Cancer Hospital of Chinese Academy of Medical Sciences, Beijing 100021
②.
Department of Comprehensive Therapy, Huanxing Cancer Hospital of Chaoyang District, Beijing 100122
③.
Department of Radiotherapy, Huanxing Cancer Hospital of Chaoyang District, Beijing 100122
④.
Nutritional Department, Cancer Hospital of Chinese Academy of Medical Sciences, Beijing 100021
⑤.
Nutritional Department, Beijing Union Hospital of Peking Union Medical College, Beijing 100730, China

摘要

摘要: 目的研究营养支持小组(NST)的参与是否对接受同步放化疗食管癌患者有益。方法 2012年6月至2013年12月因食管癌拟行放化疗患者40例入组, 随机分为NST组和常规治疗组进行营养干预, 观察放疗结束时患者营养状况、并发症发生率、治疗完成率、住院时间及住院费用。结果 NST组患者放疗结束时各项营养及血液指标均优于常规治疗组(P < 0.05), 并发症发生率低于常规治疗组(P < 0.05), NST组全部按计划完成治疗, 常规治疗组5例出现中断或延迟(P < 0.05), NST组住院时间平均缩短3.8d(P < 0.05), 住院费用减少了6 300元/人次(P＞0.05)。结论对于食管肿瘤放化疗患者, 营养支持小组的参与有利于维持患者的营养状况, 提高患者的治疗顺应性, 缩短住院时间, 降低住院费用。
- 食管恶性肿瘤 /
- 同步放化疗 /
- 营养支持小组 /
- 预后 /
- 并发症
Abstract: Objective To investigate whether the nutrition support team (NST) benefits esophageal carcinoma (EC) patients who are concurrently undergoing chemoradiotherapy. Methods Between June 2012 and December 2013, 40 EC patients undergoing chemoradiotherapy were divided into the NST group and routine treatment (RT) group, with 20 patients in each group. At the end of chemoradiotherapy, the nutritional status, incidence of complications, and completion rates of radiotherapy were evaluated. The length of hospital stay (LOS) and cost were also compared between the two groups. Results The nutrition and blood parameter values of the NST group were better (P < 0.05) than those of the RT group. The incidence of complications was lower in the NST group (P < 0.05) than that in the RT group. In addition, all patients in the NST group achieved the treatment plan, whereas five of the patients in the RT group interrupted or delayed the plan (P < 0.05). The average LOS decreased by 3.8 d (P < 0.05), and the hospitalization costs were reduced to 6300 RMB person-times (P＞0.05) for the patients of the NST group. Conclusion NST could maintain the nutritional status and improve the treatment compliance and tolerance of EC patients undergoing chemoradiotherapy, thereby shortening the LOS time and reducing the costs.
- esophageal neoplasm /
- chemoradiotherapy /
- nutrition support team /
- prognosis /
- complications

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表 1 患者一般资料

Table 1. Baseline characteristics of the study participants

表 2 两组治疗前后营养指标及部分血液指标对比

Table 2. Changes in the characteristics of patients after treatment

表 3 并发症发生率、按计划治疗完成率(%)

Table 3. Complication incidence and completion rates of treatment(%)

表 4 住院时间及住院费用比较

Table 4. Length of hospital stay and hospitalization costs

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