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目的探讨营养支持疗法结合护理在肿瘤重症患者中的应用价值。方法选取2014年5月至2016年5月间北京世纪坛医院收治的80例肿瘤重症患者,采用随机数字表法分为营养支持疗法结合护理组(联合干预组)40例和单独护理组40例,对两组患者的微型营养评估(MNA)评分、体质量指数(BMI)、性激素结合球蛋白(HBG)与白蛋白(ALB)水平、营养状况及不良反应发生情况进行统计分析。结果联合干预组患者的MNA评分、BMI、HBG和ALB水平分别为(17.1±1.9)分、(31.4±18.0)kg/m2、(168.3±13.3)g/L和(44.2±3.9)g/L,均显著高于单独护理组的(13.2±2.9)分、(17.4±13.3)kg/m2、(109.9±14.8)g/L和(35.2±3.9)g/L,差异均有统计学意义(均P<0.05)。联合干预组营养良好率80.0%(32/40)、营养不良率17.5%(7/40)、营养低下率2.5%(1/40)和不良反应发生率15.0%(6/40),均显著优于单独护理组的40.0%(16/40)、42.5%(17/40)、17.5%(7/40)和27.5%(11/40),差异均有统计学意义(均P<0.05)。结论营养支持疗法结合护理较单独护理在肿瘤重症患者中具有更高的应用价值,值得推广。
Objective To investigate the value of nutritional support therapy combined with nursing in patients with severe oncology. Methods Eighty patients with severe oncology admitted to Beijing Shijiatan Hospital from May 2014 to May 2016 were randomly divided into nutritional support therapy combined with nursing intervention group (40 cases) and nursing group (40 cases) (MNA), BMI, ALB and ALB, and the nutritional status and adverse reactions of the two groups were statistically analyzed. Results The MNA score, BMI, HBG and ALB levels in the intervention group were (17.1 ± 1.9), (31.4 ± 18.0) kg / m2, (168.3 ± 13.3) g / L and (44.2 ± 3.9) g / L (13.2 ± 2.9), (17.4 ± 13.3) kg / m2, (109.9 ± 14.8) g / L and (35.2 ± 3.9) g / L, respectively, in the single care group All P <0.05). The good nutrition rate was 80.0% (32/40), malnutrition rate 17.5% (7/40), malnutrition rate 2.5% (1/40) and adverse reaction rate 15.0% (6/40) Which was significantly higher than 40.0% (16/40), 42.5% (17/40), 17.5% (7/40) and 27.5% (11/40) in the nursing group alone (all P <0.05) . Conclusion Nutritional supportive therapy combined with nursing care alone than in the treatment of patients with severe cancer has a higher value, it is worth promoting.