鱼油脂肪乳口服营养支持对胃癌术前辅助化疗患者根治手术

来源 :2016中国国际肿瘤营养学论坛、第四届全国肿瘤营养与支持治疗学术会议、第二届海峡两岸肿瘤营养高峰论坛、第一届中国国际精准 | 被引量 : 0次 | 上传用户:woaiwx521
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  ive: Optimization of nutritional status could improve surgical outcomes.In patients without obvious nutrition risk,preoperative Omega-3 fish-oil oral nutrition supplement (ONS) is beneficial by mechanisms such as enhancing immune function and reducing systemic inflammatory responses.For locally advanced gastric cancer (AGC) patients undertaking preoperative chemotherapy,it has not been established if fish-oil supplement may decrease postoperative complications.All patients were taken gastrectomy with curative intent.Method: We studied 60 patients who were diagnosed as AGC they were divided into 2 groups and 56 of them could finish preoperative chemotherapy and undertaken curative gastrectomy.Preoperative chemotherapy regimen were 5-FU and cisplatin d regimens of 2 to 4 cycles,such as FOLFOX-7 or XELOX or SOX,according to clinicians.The examination group received a continually Omega-3 Fish-oil supplement providing 2.0 g of eicosapentaenoic acid (EPA) and 1.0 g of docosahexaenoic acid (DHA) daily before operation.Finally,28 cases in each group entered the final analysis.Parenteral nutritional support were prescribed to patients with nutritional risk by NRS2002 assessment in both groups.There was no in-hospital death in either group.We compare the infection rate during the postoperative period and the length of hospital stay between the two groups.The Infections includes abdominal infection and non-abdominal infection.
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目的:探讨综合检测方法在盲视下为危重患者留置鼻空肠营养管过程中,确定营养管尖端位置的效果。方法:采用10/10/10方案,为40例机械通气患者在床旁盲视下留置库派鼻空肠营养管,置入胃幽门的测量方法为从耳垂-鼻尖-剑突与肚脐连线的中点的距离,插入到胃幽门部位的深度后,用随呼吸间断推进的方法,继续置入鼻空肠营养50-60cm,一边置管一边用综合检测法检测,确定鼻肠营养管尖端到达空肠后妥善固定。结果:4
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