Application of standardized sequential nutritional support in postoperative treatment of elderly patients with colorectal cancer

doi:10.3877/cma.j.issn.2095-8757.2019.03.010

Abstract

Abstract:

Objective

To explore the effect of standardized sequential nutrition support in the postoperative treatment of elderly patients with colorectal cancer.

Methods

From January 2014 to September 2018, 123 elderly patients with colorectal cancer admitted to the Affiliated People's Hospital of Nanchagn Universiy were divided into group A (62 cases) and group B (61 cases). The group A received standardized parenteral and enteral sequential nutritional support treatment, while the group B received conventional parenteral nutrition after operation, then convert to a regular diet. To compare the nutrition related indicators, postoperative recovery, and related complications between the two groups. T test was used to compare the measurement data between the two groups, and χ² test was used to compare the count data.

Results

On the third day after operation, the level of prealbumin in group A was significantly lower than that in group B (t=2.670, P<0.01); on the seventh day after operation, the level of prealbumin and albumin in group A was significantly higher than that in group B (t=2.344, 2.677, P<0.05 or P<0.01). The time of anal exhaust/defecation in group A was significantly shorter than that in group B (t=2.113, P<0.05). There was no significant difference in the incidence of postoperative nutritional support complications between the two groups (t=2.736, P>0.05).

Conclusion

Standardized sequential nutritional support therapy for elderly patients with colorectal cancer can effectively improve postoperative nutritional status and enhance postoperative recovery of gastrointestinal function.

Key words: Colorectal cancer, Nutritional support, Sequential, Aged

Hui Zhou, Jian Li, Jun Wang, Li Hua, Xihong Yuan, Kai Zhou. Application of standardized sequential nutritional support in postoperative treatment of elderly patients with colorectal cancer[J]. Chinese Journal of Geriatrics Research(Electronic Edition), 2019, 06(03): 38-41.

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References 13

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组别	例数	性别（男/女，例）	年龄（岁）	结肠癌/直肠癌（例）	合并症（例）
组别	例数	性别（男/女，例）	年龄（岁）	结肠癌/直肠癌（例）	高血压	糖尿病	慢性支气管炎	前列腺肥大	冠心病
观察组	62	44/18	62~68(67.3±6.3)	43/19	11	6	5	8	0
对照组	61	40/21	63-83(66.7±7.1)	41/20	10	8	4	9	3
检验值	?	χ²=0.410	t=1.980	χ²=0.070	χ²=0.871
P值	?	>0.05	>0.05	>0.05	>0.05

组别	例数	性别（男/女，例）	年龄（岁）	结肠癌/直肠癌（例）	合并症（例）
组别	例数	性别（男/女，例）	年龄（岁）	结肠癌/直肠癌（例）	高血压	糖尿病	慢性支气管炎	前列腺肥大	冠心病
观察组	62	44/18	62~68(67.3±6.3)	43/19	11	6	5	8	0
对照组	61	40/21	63-83(66.7±7.1)	41/20	10	8	4	9	3
检验值	?	χ²=0.410	t=1.980	χ²=0.070	χ²=0.871
P值	?	>0.05	>0.05	>0.05	>0.05

组别	例数	BMI			白蛋白(g/L)			前白蛋白（mg/L）
组别	例数	术前	术后第3天	术后第7天	术前	术后第3天	术后第7天	术前	术后第3天	术后第7天
观察组	62	23.1±3.2	22.9±3.2	23.3±3.1	37.2±5.1	33.2±2.8	35.8±4.1	214.5±21.2	151.4±26.4	173.0±34.3
对照组	61	23.1±3.1	22.1±2.9	23.0±3.1	36.2±4.5	33.9±3.2	34.0±3.2	218.1±18.6	163.3±22.9	161.1±19.7
t值	?	0.086	1.449	0.581	1.194	1.287	2.677	0.982	2.670	2.344
P值	?	>0.05	>0.05	>0.05	>0.05	>0.05	<0.01	>0.05	<0.01	<0.05

组别	例数	BMI			白蛋白(g/L)			前白蛋白（mg/L）
组别	例数	术前	术后第3天	术后第7天	术前	术后第3天	术后第7天	术前	术后第3天	术后第7天
观察组	62	23.1±3.2	22.9±3.2	23.3±3.1	37.2±5.1	33.2±2.8	35.8±4.1	214.5±21.2	151.4±26.4	173.0±34.3
对照组	61	23.1±3.1	22.1±2.9	23.0±3.1	36.2±4.5	33.9±3.2	34.0±3.2	218.1±18.6	163.3±22.9	161.1±19.7
t值	?	0.086	1.449	0.581	1.194	1.287	2.677	0.982	2.670	2.344
P值	?	>0.05	>0.05	>0.05	>0.05	>0.05	<0.01	>0.05	<0.01	<0.05

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