Volume 19 Issue 7
Jul.  2021
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(7): 1087-1090
LI Ping, LIU Wen-hong, ZHAO Meng, SU Guang-ming. Significance of nutritional risk screening before transcatheter arterial chemoembolization for primary liver cancer and the effect of individualised nutritional intervention[J]. Chinese Journal of General Practice, 2021, 19(7): 1087-1090. doi: 10.16766/j.cnki.issn.1674-4152.001991
Citation: LI Ping, LIU Wen-hong, ZHAO Meng, SU Guang-ming. Significance of nutritional risk screening before transcatheter arterial chemoembolization for primary liver cancer and the effect of individualised nutritional intervention[J]. Chinese Journal of General Practice, 2021, 19(7): 1087-1090. doi: 10.16766/j.cnki.issn.1674-4152.001991
shu

Significance of nutritional risk screening before transcatheter arterial chemoembolization for primary liver cancer and the effect of individualised nutritional intervention

doi: 10.16766/j.cnki.issn.1674-4152.001991
  • 1.

    Emergency Care Unit, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100043, China

Funds:

 2016-2-2053

  • Received Date: 2020-08-19
    Available Online: 2022-02-16
    Abstract
  •   Objective  To understand the preoperative nutritional needs and quality of life of patients with primary liver cancer treated with interventional therapy and to analyse the effect of individual nutritional interventions.  Methods  A total of 120 primary liver cancer patients undergoing transcatheter arterial chemoembolization (TACE) from December 2018 to December 2019 were included in the study. They were divided into the observation group and control group according to the random number table method with 60 cases in each group. All patients were screened using the preoperative Nutritional Risk Screening 2002 (NRS2002) scale and Quality of Life Scale (EORTC QLQ-C30) before operation. The patients in the control group were provided perioperative regular diet guidance, whereas those in the observation group were given individualised nutritional intervention. The patients were followed up for 3 months. The NRS2002 score, EORTC QLQ-C30 score, liver function index (ALT, AST, GGT) and nutritional index (BMI, ALB) between the two groups were observed and compared.  Results  (1) A total of 120 patients with primary liver cancer had poor preoperative nutritional status and low quality of life. (2) No statistically significant difference was observed in the NRS2002 score, EORTC QLQ-C30 score, liver function and nutritional index between the two groups before intervention (all P > 0.05). (3) After three months of follow-up, the observation group had improved NRS2002 and EORTC QLQ-C30 scores compared with the control group (all P < 0.05). Moreover, the observation group had lower liver function indexes (tALT=-7.623, tAST=-8.816, tGGT=-12.476) and higher nutritional indexes (tBMI=6.578, tALB=3.593) compared with the control group (all P < 0.001).  Conclusion  Patients with primary liver cancer have poor preoperative nutritional status and low quality of life. Individualised nutritional intervention can effectively improve patients' nutritional status, quality of life and liver function, indicating that it has a good clinical application prospect.

     

    • FullText(HTML)
  • loading
    • References(20)
  • [1]
    顾朋, 叶尔麦克·阿哈提, 樊喜文. 原发性肝癌TACE治疗栓塞剂对疗效和预后影响[J]. 中华肿瘤防治杂志, 2018, 25(23): 1658-1663. https://www.cnki.com.cn/Article/CJFDTOTAL-QLZL201823011.htm
    [2]
    陈丽, 余日胜, 赖林强, 等. 髓源性抑制细胞监测在评估中晚期肝癌TACE预后中的临床价值[J]. 介入放射学杂志, 2019, 28(8): 742-746. doi: 10.3969/j.issn.1008-794X.2019.08.008
    [3]
    安天志, 高嵩, 靳勇, 等. 中国肝细胞癌经动脉化疗栓塞治疗(TACE)临床实践指南[J]. 介入放射学杂志, 2018, 27(12): 1117-1126. doi: 10.3969/j.issn.1008-794X.2018.12.001
    [4]
    徐军辉, 文习刚, 罗金波, 等. 术前营养支持对存在营养风险肝癌患者肝动脉化疗栓塞临床结局的影响[J]. 中华肝胆外科杂志, 2018, 24(4): 226-230. doi: 10.3760/cma.j.issn.1007-8118.2018.04.003
    [5]
    邓林, 孙文杰, 高知玲, 等. 中晚期原发性肝癌患者TACE术后早期复发危险因素[J]. 中国介入影像与治疗学, 2020, 17(2): 65-69. https://www.cnki.com.cn/Article/CJFDTOTAL-JRYX202002002.htm
    [6]
    陈颖君, 卞晓洁, 陈大宇, 等. 多学科联合营养测评在肝癌病人营养评估中的价值和护理体会[J]. 肠外与肠内营养, 2020, 27(2): 94-99. https://www.cnki.com.cn/Article/CJFDTOTAL-CWCN202002008.htm
    [7]
    王瑛, 袁鹤立, 袁楠, 等. 肠内营养治疗对原发性肝癌肝动脉化疗栓塞术后患者肝功能、凝血功能的影响及临床意义[J]. 中国老年学杂志, 2019, 39(15): 3649-3654. doi: 10.3969/j.issn.1005-9202.2019.15.017
    [8]
    中华人民共和国国家卫生健康委员会医政医管局. 原发性肝癌诊疗规范(2019年版)[J]. 临床肝胆病杂志, 2020, 36(2): 277-292. doi: 10.3969/j.issn.1001-5256.2020.02.007
    [9]
    北京医学会肠外肠内营养学专业委员会, 《慢性肝病患者肠外肠内营养支持与膳食干预专家共识》专家委员会. 慢性肝病患者肠外肠内营养支持与膳食干预专家共识[J]. 临床肝胆病杂志, 2017, 33(7): 1236-1245. doi: 10.3969/j.issn.1001-5256.2017.07.006
    [10]
    余佩和, 苏松, 陈诗, 等. 胰十二指肠联合全系膜切除术与胰十二指肠切除术治疗胰头癌及壶腹周围癌效果比较的Meta分析[J]. 临床肝胆病杂志, 2020, 36(8): 1811-1815. doi: 10.3969/j.issn.1001-5256.2020.08.026
    [11]
    吴琼, 高锋, 张路遥, 等. 老年患者经自然腔道取标本的腹腔镜下胰十二指肠切除术病例探讨[J]. 中国老年学杂志, 2020, 40(5): 971-974. doi: 10.3969/j.issn.1005-9202.2020.05.025
    [12]
    江杰, 胡宗强, 陈刚, 等. 原发性肝癌转化治疗研究进展[J]. 临床肝胆病杂志, 2020, 36(8): 1870-1873. doi: 10.3969/j.issn.1001-5256.2020.08.042
    [13]
    刘芳, 张立峰. 糖尿病患者并发原发性肝癌危险因素分析[J]. 临床军医杂志, 2020, 48(8): 937-938. https://www.cnki.com.cn/Article/CJFDTOTAL-JYGZ202008026.htm
    [14]
    王宇, 严金明, 刘冬. MSCT在原发性肝癌合并门静脉癌栓诊断中的价值[J]. 中国CT和MRI杂志, 2020, 18(10): 84-86. doi: 10.3969/j.issn.1672-5131.2020.10.025
    [15]
    杨为中, 周武元, 李云玖, 等. 腹腔镜肝癌根治术对原发性肝癌的近期疗效及肝功能指标变化分析[J]. 中国临床医生杂志, 2020, 48(8): 952-954. doi: 10.3969/j.issn.2095-8552.2020.08.023
    [16]
    宋峰燕, 薛运华, 孔莉军, 等. 老年中晚期原发性肝癌患者生活质量及其对生存期的影响[J]. 现代肿瘤医学, 2020, 28(17): 3015-3020. doi: 10.3969/j.issn.1672-4992.2020.17.021
    [17]
    高远韧, 陈思佳, 侯英文, 等. TACE联合射频消融术序贯槐耳颗粒治疗原发性肝癌[J]. 长春中医药大学学报, 2020, 36(4): 684-687. https://www.cnki.com.cn/Article/CJFDTOTAL-CZXX202004022.htm
    [18]
    杨慧卿, 林梦瑶, 谢晓光, 等. 原发性肝癌切除术后深静脉血栓风险的影响因素及预防干预[J]. 中华保健医学杂志, 2020, 22(4): 360-362. doi: 10.3969/j.issn.1674-3245.2020.04.005
    [19]
    唐毅, 王惠群, 王黔, 等. 院外营养干预对胃癌术后患者营养状况的影响[J]. 贵州医科大学学报, 2020, 45(8): 949-953. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYB202008015.htm
    [20]
    刘苏瑶, 王琳, 许菊青, 等. 老年消化道肿瘤的营养评估与干预[J]. 实用老年医学, 2020, 34(8): 767-770. doi: 10.3969/j.issn.1003-9198.2020.08.003
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (688) PDF downloads(2) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return