Efficacy of nutritional intervention in patients with primary hepatocellular carcinoma treated by transcatheter arterial chemoembolization
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摘要: 目的探讨短期营养干预对原发性肝癌患者行经肝动脉化疗栓塞术(TACE)治疗的效果。方法选取北京佑安医院2012年1月-10月诊断为原发性肝癌,行TACE治疗患者60例,平行、非随机分为2组:营养组和对照组各30例。对2组患者均进行营养指导。营养组患者介入术后口服肝营养素,早晚各1次,15 g/次,持续营养治疗4周。对照组常规饮食。2组间指标变化的比较采用t检验。结果持续治疗4周后,2组患者体质量、上臂肌围、肱三头肌皮褶厚度较治疗前均增加,差异均有统计学意义(P值均<0.05);两组患者总蛋白均增加,与治疗前相比差异有统计学意义[(67±13)g/L vs(72±9)g/L、(66±10)g/L vs(74±8)g/L;P值分别为0.04、0.02)],两组间总蛋白治疗前后差值变化有统计学意义(P=0.04);营养组白蛋白和胆碱酯酶较治疗前均增加,差异有统计学意义[(34.7±2.9)g/L vs(39.9±3.5)g/L、(3342±415)U/L vs(4600±459)U/L;P值分别为0.03、0.01)],两组间白蛋白和胆碱酯酶治疗前后差值变化有统计学意义(P值均为0.03...Abstract: Objective To investigate the efficacy of short- term nutritional intervention in patients with primary hepatocellular carcinoma treated by transcatheter arterial chemoembolization. Methods Sixty patients with primary hepatocellular carcinoma who were admitted to Beijing Youan Hospital to receive transcatheter arterial chemoembolization from January 2012 to October 2012 were equally and non- randomly divided into two groups: nutrition group and control group. The two groups were all given nutrition guidance after transcatheter arterial chemoembolization. The nutrition group was given 15 g liver essentials twice a day( one in the morning and the other in the evening) by oral administration for 4 weeks,while the control group was given routine diet for 4 weeks. Comparison of data between the two groups was made by independent- samples t test. Results After 4 weeks of continuous treatment,the two groups had significantly increased body weight( P< 0. 05),arm muscle circumference( P < 0. 05),and triceps skinfold thickness( P < 0. 05). The two groups had significantly increased total protein( 67 ± 13 g / L vs 72 ± 9 g / L,P = 0. 04; 66 ± 10 g / L vs 74 ± 8 g / L,P = 0. 02) after treatment,and there was a significant difference in changes in total protein after treatment between the two groups( P = 0. 04). The nutrition group had significantly increased albumin( 34. 7 ± 2. 9 g/L vs 39. 9 ± 3. 5 g/L,P = 0. 03) and cholinesterase( 3342 ± 415 U/L vs 4600 ± 459 U/L,P = 0. 01) after treatment,and there was a significant difference in changes in albumin( P = 0. 03) and cholinesterase( P = 0. 03) after treatment between the two groups.Conclusion For patients with primary hepatocellular carcinoma treated by transcatheter arterial chemoembolization,oral administration of liver essentials improves their nutritional status and liver function,so as to increase their tolerance to subsequent treatments.
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Key words:
- liver neoplasms /
- enteral nutrition /
- chemoembolization,therapeutic /
- treatment outcome
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