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目的:探讨中医辅助营养方案对胃癌术后营养状况和免疫功能的影响,为提高胃癌术后康复效果提供依据。方法:选取60例于2010年8月—2012年8月在本院进行胃根治术的患者分为对照组和观察组进行研究,在两组都使用肠内营养的情况下,观察组加中药辅助治疗,观察两组术后肠道恢复情况及营养状况指标和免疫功能指标。结果:胃癌术后,在肠道恢复时间、排气时间方面,观察组要比对照组时间短,差异具有统计学意义(P<0.05)在两组患者营养指标变化的比较中,术前两组的体重,肱三头肌皮褶厚度,上臂围比较,差异不具有统计学意义(P>0.05),术后比较具有统计学意义(P<0.05);术前两组的免疫功能比较上均不具有统计学意义(P>0.05)但在术后观察组CD3,CD4,CD8,CD4+/CD8等都略有提高(P<0.05)对照组略有下降(P<0.05)。结论:中医营养辅助治疗有利于提高胃癌术后患者的营养状况和免疫功能,为临床用药指明了方向,提供了用药支持,值得在临床推广。
Objective: To investigate the nutritional status of Chinese patients with postoperative nutritional status and immune function, and to provide basis for improving postoperative recovery of gastric cancer. Methods: Sixty patients who underwent radical mastectomy in our hospital from August 2010 to August 2012 were divided into control group and observation group. When enteral nutrition was used in both groups, the observation group plus traditional Chinese medicine Adjuvant therapy was performed to observe the postoperative intestinal recovery and nutritional status and immune function indexes of the two groups. Results: Compared with the control group, the observation group had shorter recovery time and exhaust time after gastric cancer operation, the difference was statistically significant (P <0.05). In the comparison of the changes of nutritional indexes between the two groups, The body weight, triceps skinfold thickness and upper arm circumference had no significant difference (P> 0.05), but the difference was statistically significant (P <0.05). The immune function of the two groups before operation (P> 0.05). However, the levels of CD3, CD4, CD8, CD4 + / CD8 in the postoperative observation group increased slightly (P <0.05), while the control group decreased slightly (P <0.05). Conclusion: Chinese medicine nutrition adjuvant therapy is beneficial to improve the nutritional status and immune function of postoperative patients with gastric cancer, indicating the direction for clinical medication, providing medication support, it is worth in the clinical promotion.