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以高蛋白饮食为基础的强化营养支持模式对晚期非小细胞肺癌合并恶性胸腔积液患者营养学指标与免疫功能的影响
Effect of the high-protein diet-based intensive nutritional support mode on nutritional indicators and immune function in patients with advanced non-small cell lung carcinoma and malignant hydrothorax

内科 202318卷06期 页码:548-551

作者机构:河南省郑州市第三人民医院呼吸肿瘤内科,郑州市450000

DOI:10.16121/j.cnki.cn45-1347/r.2023.06.08

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目的探讨以高蛋白饮食为基础的强化营养支持模式对晚期非小细胞肺癌合并恶性胸腔积液患者营养学指标与免疫功能的影响。方法选取85例晚期非小细胞肺癌合并恶性胸腔积液患者作为研究对象,将其随机分为对照组(n=42)和观察组(n=43)。对照组行标准饮食干预,观察组行以高蛋白饮食为基础的强化营养支持模式干预,两组均干预1个月。比较两组患者营养学指标、免疫功能和并发症发生情况。结果干预1个月后,观察组血清前白蛋白、血红蛋白、白蛋白水平和体质量指数,以及血清CD3+、CD4+水平和CD4+/CD8+均高于对照组(均P<0.05)。干预期间,两组患者的胸膜反应、气胸发生率差异均无统计学意义(均P>0.05);观察组患者的营养不良发生率低于对照组(P<0.05)。结论以高蛋白饮食为基础的强化营养支持模式对晚期非小细胞肺癌合并恶性胸腔积液患者效果确切,能够有效地改善患者的营养学指标,提高其免疫功能,降低营养不良发生率。

ObjectiveTo investigate the effect of the high-protein diet-based intensive nutritional support mode on nutritional indicators and immune function in patients with advanced non-small cell lung carcinoma and malignant hydrothorax. MethodsA total of 85 patients with advanced non-small cell lung carcinoma and malignant hydrothorax were selected as research objects and randomly divided into a control group (n=42) or an observation group (n=43). The control group was given standard dietary intervention, the observation group was given high-protein diet-based intensive nutritional support mode intervention, and both groups were intervened for 1 month. The nutritional indicators, immune function, and the incidence of complications were compared between the two groups. ResultsAfter 1 month of intervention, the serum prealbumin, hemoglobin, albumin levels; body mass index; serum CD3+, CD4+ levels; and CD4+/CD8+in the observation group were higher than those in the control group (all P<0.05). During the intervention, there was no statistically significant difference in the incidence of pleural reaction or pneumothorax between the two groups (all P>0.05), and the incidence of malnutrition in the observation group was lower than that in the control group (P<0.05). ConclusionThe high-protein diet-based intensive nutritional support mode has a definite effect on patients with advanced non-small cell lung carcinoma and malignant hydrothorax, which can effectively improve patients′ nutritional indicators, enhance their immune function, and reduce the incidence of malnutrition.

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