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| The clinical practice of goal⁃directed nutrition pathway management in liver cancer operative patients combined with cirrho⁃
sis |
| Tang Xiaoli, Wang Haiqing, Yang Jie, Yu Jiaxiu, Zhao Ya, Lyu Jiahua, Cheng Yulin, Liu Meilin, Zou Jing, Wang Jing, Zhang Lixia |
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Abstract Objective To explore the effects of the implementation of the goal⁃directed nutrition on the nutritional status
and postoperative rehabilitation of operative patients with liver cancer combined with cirrhosis from admission to discharge.
Methods A cancer target nutrition team was established, a target nutrition pathway implementation list was formulated and
applied throughout the whole progress of hospitalization, pre⁃operation, post⁃operation, discharge from hospital, and
post⁃discharge.121 liver cancer patients operated before the implementation of goal⁃directed nutrition pathway management were
included in the control group, and 126 patients operated after implementation were selected as the trial group. We evaluated the
efficacy of intestinal nutrition efficacy real⁃timely and dynamically regulated the target nutrition in the experimental group. The
changes of some data such as skeletal muscle, albumin, prealbumin on the 14th day after surgery, and the recovery time of
intestinal function, postoperative complications, and the average hospital stay were compared between the two group. Results In
the experimental group, there were no significant decrease in the skeletal muscle, the recovery time of intestinal function was
significantly earlier, the level of albumin and prealbuminon was significantly better than that of the control group, and the
incidence of bloating, diarrhea, ascites and infection was significantly lower than that of the control group. Conclusion The
target nutrition management in the perioperative period delivered by the nutrition support group is a feasible nutrition
implementation management mode for liver cancer patients, which can improve the nutritional status of patients and promote the
rehabilitation of patients after surgery.
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Received: 01 February 2021
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