摘要
目的 :探讨鼻咽癌患者放疗前后的营养状况 ,为合理调配膳食 ,使患者更好地接受化疗 ,早日康复提供依据。方法 :对 80例患者放疗前后营养状况 ,通过计算平均每人每日能量及营养素 ,体检及实验室检查结果进行评定。结果 :患者治疗前能量及各种营养素摄入基本达到推荐营养素摄入量 (RNI) ,治疗后除抗坏血酸达到RNI的 97 0 %外 ,男女患者能量摄入分别为 82 5 6 %和 84 2 4 % (P <0 0 1) ,其它营养素摄入量占RNI 38 5 3%～ 84 4 3% ,达不到平衡膳食的要求。放疗后男女患者体重分别下降 10 0 4 %和 7 6 8%。Hb、RBC、Lym和ALB偏低 (P <0 0 5～ 0 0 1)。结论 :放疗后患者普遍存在能量和营养素摄入不足、体重下降、贫血、低蛋白和免疫力下降等潜在性营养不足问题。
Objective:To inverstigate the nutritional status of patients with nasopharyngeal carcinoma(NPC) before and after radiotherapy,providing a evidence for rational diet.Methods:The nutritional status of 80 case of NPC patients before and after radiotherapy were valued by calculating mean heat energy and nutrients intakes per-day respectively,and comparing their body examination indexs and laboratory examination indexs.Results:NPC patients heat energy and all nutrients intakes meet the standard of chinese recommend nutrients intakes(RNI) foundationly before radiotherapy.But,after radiotherapy,excepted the ascorbic acid intakes reach 97% of the RNI,male and female patientss calorie intakes at 82 56% and 84 24% respectively(P<0 01).The others nutrients intakes range from 38 53% to 84 43%,which cant meet the need of balance diet.Farther more,the body weight of male and female patients reduced at 10 04% and 9 58% respectively,and blood,Hb,RBC,Lym and ALB all reduced(P<0 05～0 01). Conclusions:After radiotherapy,NPC patients apt to have an inadequate heat energy and nutrients intakes,and result to many insufficient diet problems such as lower body weight,anemia,lower protein and inadequate immunity and others.
出处
《广西医学》
CAS
2002年第5期611-613,共3页
Guangxi Medical Journal
关键词
鼻咽癌
营养状况
营养不足
放射疗法
Nasopharyngeal carcinoma
Radiotherapy
Nutritional status
Undernutrition
