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肠内营养对预防鼻咽癌同期放化疗患者骨髓抑制的疗效观察

廖金花 刘历鹏 李金伟 刘晓云 张璐

沈阳医学院学报2025,Vol.27Issue(5):492-496,513,6.
沈阳医学院学报2025,Vol.27Issue(5):492-496,513,6.DOI:10.16753/j.cnki.1008-2344.2025.05.008

肠内营养对预防鼻咽癌同期放化疗患者骨髓抑制的疗效观察

Efficacy of enteral nutrition in preventing bone marrow suppression in patients with nasopharyngeal carcinoma undergoing concurrent radiotherapy and chemotherapy

廖金花 1刘历鹏 2李金伟 3刘晓云 3张璐3

作者信息

  • 1. 赣州市肿瘤医院临床营养科,江西 赣州 341000
  • 2. 赣州市肿瘤医院放疗技术科,江西 赣州 341000
  • 3. 赣州市肿瘤医院放疗三科,江西 赣州 341000
  • 折叠

摘要

Abstract

Objective:To investigate the efficacy of enteral nutrition in preventing bone marrow suppression in patients with nasopharyngeal carcinoma undergoing concurrent radiotherapy and chemotherapy.Methods:The clinical data of 150 nasopharyngeal carcinoma patients undergoing concurrent radiotherapy and chemotherapy treatment in our hospital from Sep 2022 to Sep 2024 were analyzed.They were divided into the conventional group(74 cases)and the enteral nutrition group(76 cases)according to different nutritional intervention plans.The conventional group received conventional nutritional therapy,while the enteral nutrition group received enteral nutrition therapy.The occurrence of bone marrow suppression,blood routine indicators,nutritional status indicators were compared,and quality of life was evaluated with cancer patient quality of life measurement scale(EORTC-QLQ-C30)and compared.Results:The total incidence of bone marrow suppression in the enteral nutrition group was lower than that in the conventional group(P<0.05),and the degree of bone marrow suppression was milder than that in the conventional group(P<0.05).At the end of treatment,the enteral nutrition group had higher levels of hemoglobin,granulocytes count,red blood cells count,white blood cells count,platelets count,body mass index,upper arm circumference,waist circumference,and scores of each functional domain of EORTC-QLQ-C30 compared to the conventional group(P<0.05).Conclusion:Enteral nutrition therapy for nasopharyngeal carcinoma patients undergoing concurrent radiotherapy and chemotherapy can prevent bone marrow suppression,improve blood routine indicators and nutritional status,and enhance quality of life.

关键词

鼻咽癌/同期放化疗/肠内营养/骨髓抑制

Key words

nasopharyngeal carcinoma/concurrent radiotherapy and chemotherapy/enteral nutrition/bone marrow suppression

分类

医药卫生

引用本文复制引用

廖金花,刘历鹏,李金伟,刘晓云,张璐..肠内营养对预防鼻咽癌同期放化疗患者骨髓抑制的疗效观察[J].沈阳医学院学报,2025,27(5):492-496,513,6.

基金项目

赣州市卫生健康委员会市级科研计划项目(No.2023-2-035) (No.2023-2-035)

沈阳医学院学报

1008-2344

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