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目的研究能量代谢和人体成分监测在头颈部肿瘤放疗患者营养治疗中的应用及效果。方法选择2015年1月~2016年6月医院收治的头颈部肿瘤患者122例,随机分为观察组和对照组,每组患者61例。两组患者均采用常规放疗的方法进行治疗,对照组患者根据以往经验及临床显性治疗方法进行营养供给,观察组患者根据能量代谢指标及人体成分监测结果,按需定量进行营养供给。治疗后对患者进行为其半年的跟踪调查,对比两组患者放疗前后的营养状况,以及相应的各项营养指标。结果治疗前,两组患者在营养状况、各项营养指标等方面,差异不具有统计学意义(P>0.05);治疗后,观察组患者在营养状况、各项营养指标等方面,均优于对照组患者,差异具有统计学意义(P<0.05)。结论在头颈部肿瘤放疗患者的治疗及护理中,根据能量代谢、人体成分监测等方法进行营养治疗,能够有效提高患者治疗后的营养状况,改善各项营养指标,有重要的临床意义。
Objective To study the application and effect of energy metabolism and body composition monitoring in nutritional therapy of patients with head and neck cancer radiotherapy. Methods 122 patients with head and neck cancer admitted to our hospital from January 2015 to June 2016 were randomly divided into observation group and control group, with 61 patients in each group. The two groups of patients were treated by conventional radiotherapy. Patients in the control group were given nutrition based on past experience and clinical treatment. Patients in the observation group were given nutritional supply on demand according to the energy metabolism index and body composition monitoring results. After treatment, the patients were followed up for six months. The nutritional status of patients in both groups before and after radiotherapy were compared with corresponding nutrition indexes. Results Before treatment, there was no significant difference between the two groups in terms of nutritional status and nutritional indicators (P> 0.05). After treatment, the patients in observation group were better than those in nutritional status and various nutritional indexes The control group patients, the difference was statistically significant (P <0.05). Conclusion In the treatment and nursing of head and neck cancer patients undergoing radiotherapy, nutritional therapy based on energy metabolism and body composition monitoring can effectively improve the nutritional status of patients after treatment and improve various nutritional indexes, which has important clinical significance.