头颈肿瘤病人围术期营养管理方案的构建与应用OA
Development and application of perioperative nutritional management protocol for patients with head and neck tumors
目的:探讨构建头颈肿瘤病人围术期标准化的营养管理方案,并评价其应用效果.方法:采用便利抽样法选取2025年5月6日—9月30日在医院住院的头颈肿瘤围术期病人95例作为研究对象,随机分为对照组(46例,采用常规营养管理)和观察组(49例,采用围术期营养管理方案进行干预).比较两组病人体质指数(BMI)、血清白蛋白、前白蛋白水平、组织愈合不良和感染发生率及术后住院天数.结果:入院时,两组病人BMI、血清白蛋白、前白蛋白比较差异无统计学意义(P>0.05);术后5 d,观察组病人前白蛋白水平显著高于对照组(P<0.05).出院时,观察组BMI、血清白蛋白、前白蛋白均显著高于对照组(P均<0.05);观察组组织愈合不良和感染发生率均低于对照组,但差异无统计学意义(P均>0.05);观察组住院天数短于对照组(P<0.05).结论:头颈肿瘤病人围术期营养管理方案临床实用性强.
Objective:To develop a standardized perioperative nutritional management protocol for patients with head and neck tumors and to evaluate its application.Method:A total of 95 perioperative patients with head and neck tumors who were hospitalized in the hospital from May 6th to September 30th,2025 were selected by convenience sampling and randomly divided into the control group(46 cases,receiving conventional nutritional management)and the observation group(49 cases,receiving intervention with the perioperative nutritional management plan).The body mass index(BMI),serum albumin,prealbumin levels,the incidence of poor tissue healing and infection,and the length of hospital stay were compared between the two groups of patients.Result:At admission,there was no statistically significant difference in BMI,serum albumin and prealbumin between the two groups of patients(P>0.05).Five days after the operation,the prealbumin of the observation group was significantly higher than that of the control group(P<0.05).Before discharge,the BMI,serum albumin and prealbumin in the observation group were significantly higher than those in the control group(all P<0.05).The incidences of poor tissue healing and infection in the observation group were both lower than those in the control group,but the differences were not statistically significant(all P>0.05).The hospital stay of the observation group was shorter than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The perioperative nutritional management program for patients with head and neck tumors has strong clinical practicability.
曹德冉;王廷廷;熊娜;卢文红
250022,山东省第二人民医院250022,山东省第二人民医院250022,山东省第二人民医院250022,山东省第二人民医院
头颈肿瘤围术期营养管理方案构建循证
head and neck tumorsperioperativenutritional managementprotocol developmentevidence-based
《全科护理》 2026 (15)
2797-2801,5
山东省医药卫生科技发展计划项目,编号:202314050635.
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