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目的 评价胃肠道营养支持在口腔颌面部恶性肿瘤术后治疗中的价值。方法48例口腔颌面部恶性肿瘤术后病例随机分为治疗组24例,对照组24例。治疗组采用胃肠道营养膳食,对照组由患者家属自备膳食。对两组病例进行营养监测和术后恢复程度判断。结果治疗组术后第10天体重无明显减轻,血清白蛋白和运铁蛋白无明显下降;对照组术后第10天体重明显减轻,血清白蛋白和运铁蛋白明显下降。两组比较差异非常显著(P<0.01)。两组术后恢复情况比较亦有非常显著差异(P<0.01)。结论 口腔颌面部恶性肿瘤病人术后胃肠道营养支持能有效地防止体重减轻,减少体内蛋白质的消耗,促进手术后的恢复。
Objective To evaluate the value of gastrointestinal nutrition support in the postoperative treatment of oral and maxillofacial malignancies. Methods Forty-eight cases of oral and maxillofacial malignant tumors were randomly divided into treatment group (24 cases) and control group (24 cases). The treatment group adopted gastrointestinal nutrition diet, while the control group provided meals by family members of the patients. Two groups of patients nutrition monitoring and postoperative recovery to determine the extent. Results The body weight of the treatment group was not significantly reduced on the 10th day after operation, and serum albumin and transferrin were not significantly decreased. On the 10th day after operation, the body weight of the control group was significantly reduced, serum albumin and transferrin were significantly decreased. The difference between the two groups was significant (P <0.01). There was also a significant difference between the two groups in postoperative recovery (P <0.01). Conclusion The postoperative nutrition support of gastrointestinal tract in patients with oral and maxillofacial malignant tumors can effectively prevent weight loss, reduce the consumption of protein in the body and promote the recovery after surgery.