Effect of nutrition intake method with adaptive viscosity on nutritional status of laryngeal cancer patients with dysphagia after surgery and radiotherapy

Q4 Nursing

中华临床营养杂志 Pub Date : 2019-04-30 DOI:10.3760/CMA.J.ISSN.1674-635X.2019.02.009

Lei Yu, F. Fang

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Abstract

Objective To investigate the effect of nutrition intake method with adaptive viscosity on nutritional status of laryngeal cancer patients with dysphagia after surgery and radiotherapy (RT). Methods 77 laryngeal carcinoma patients with dysphagia after surgery and radiotherapy were divided randomly into two groups by a random number table as study group (SG, n=39) and control group (CG, n=38). The CG received routine diet instruction and swallowing training, while the SG received oral nutritional supplementation with adaptive viscosity in additon. The body weight, body mass index (BMI), hemoglobin, albumin, prealbumin and scores of nutritional status at the end and 3 months after RT were compared between the two groups. Results There were 34 patients (87.2%) and 32 patients (84.2%) with nutritional status scores more than or equal to 2 at the end of RT in the two groups. At 3 months after RT, the body weight, BMI, hemoglobin, albumin, prealbumin, daily intake and nutritional status scores in the study group were significantly higher than those at the end of RT and those in the control group [(61.28±11.16) vs. (51.82±7.36), (56.44±10.69)kg; (20.57±6.13) vs. (18.81±4.43), (19.47±5.36)kg/m2; (134.87±17.86) vs. (114.68±15.25), (123.58±19.34)g/L; (40.74±7.54) vs. (36.77±5.27), (37.94±8.47)g/L; (312.83±35.83) vs. (271.56±32.82), (290.73±41.38)g/L; (2 047±126) vs. (1 512±143), (1 589±138)kcal; (2.36±0.93) vs. (3.70±1.80), (3.14±1.26); P all<0.05]. The level of the body weight and hemoglobin in the control group at 3 months after RT were significantly higher than those at end of RT [(56.44±10.69) vs. (51.56±8.34)kg, P=0.025; (123.58±19.34) vs. (113.36±16.56)g/L, P=0.023]. During 3 months, the rate of pulmonary infection was 1 (2.5%) in the study group and 6 (15.8%) in the control group and the difference was statistically significant (χ2=4.073, P=0.044). Conclusion Nutrition intake method with adaptive viscosity can effectively improve the nutritional status of laryngeal cancer patients with dysphagia after surgery and radiotherapy and reduce the infection rate of lung. Key words: Laryngeal neoplasm; Dysphagia; Nutrition intake method; Viscosity; Nutritional status

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适应性黏度营养摄入法对喉癌术后放疗后吞咽困难患者营养状况的影响

目的探讨适应性黏度营养摄入方法对喉癌术后放疗后吞咽困难患者营养状况的影响。方法将77例喉癌术后放疗后吞咽困难患者按随机数字表法随机分为研究组(SG, n=39)和对照组(CG, n=38)。对照组给予常规饮食指导和吞咽训练，对照组给予自适应黏度的口服营养补充。比较两组患者治疗结束时和治疗后3个月的体重、身体质量指数(BMI)、血红蛋白、白蛋白、前白蛋白及营养状况评分。结果两组患者治疗结束时营养状况评分≥2分的分别为34例(87.2%)和32例(84.2%)。放疗后3个月，研究组患者的体重、BMI、血红蛋白、白蛋白、前白蛋白、日摄入量和营养状况评分均显著高于放疗结束时和对照组[(61.28±11.16)vs(51.82±7.36)，(56.44±10.69)kg];(20.57±6.13)和(18.81±4.43),(19.47±5.36)kg / m2;(134.87±17.86)和(114.68±15.25),(123.58±19.34)g / L;(40.74±7.54)vs(36.77±5.27)，(37.94±8.47)g/L;(312.83±35.83)和(271.56±32.82),(290.73±41.38)g / L;(2 047±126)vs(1 512±143)，(1 589±138)kcal;(2.36±0.93)vs(3.70±1.80)，(3.14±1.26);P < 0.05)。对照组患者在放疗后3个月的体重和血红蛋白水平显著高于放疗结束时的水平[(56.44±10.69)vs(51.56±8.34)kg, P=0.025;(123.58±19.34)vs(113.36±16.56)g/L, P=0.023]。3个月内，研究组肺部感染1例(2.5%)，对照组6例(15.8%)，差异有统计学意义(χ2=4.073, P=0.044)。结论自适应黏度营养摄入法能有效改善喉癌术后放疗后吞咽困难患者的营养状况，降低肺部感染率。关键词:喉部肿瘤;吞咽困难;营养摄入法;粘度;营养状况

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来源期刊

中华临床营养杂志 Nursing-Nutrition and Dietetics

CiteScore

0.20

自引率

0.00%

发文量

2282

期刊介绍： The Chinese Journal of Clinical Nutrition was founded in 1993. It is the first professional academic journal (bimonthly) in my country co-sponsored by the Chinese Medical Association and the Chinese Academy of Medical Sciences to disseminate information on clinical nutrition support, nutrient metabolism, the impact of nutrition support on outcomes and "cost-effectiveness", as well as translational medicine and nutrition research. It is also a professional journal of the Chinese Medical Association's Parenteral and Enteral Nutrition Branch. The purpose of the Chinese Journal of Clinical Nutrition is to promote the rapid dissemination of knowledge on nutrient metabolism and the rational application of parenteral and enteral nutrition, focusing on the combination of multidisciplinary and multi-regional field investigations and clinical research. It mainly reports on nutritional risk screening related to the indications of parenteral and enteral nutrition support, "cost-effectiveness" research on nutritional drugs, consensus on clinical nutrition, guidelines, expert reviews, randomized controlled studies, cohort studies, glycoprotein and other nutrient metabolism research, systematic evaluation of clinical research, evidence-based case reports, special reviews, case reports and clinical experience exchanges, etc., and has a special column on new technologies related to the field of clinical nutrition and their clinical applications.