Volume 20 Issue 11
Nov.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(11): 1828-1830
YANG Ting-ting, GUAN Ke, YANG Yang, WANG Wen, WANG Wei-xiang, BAI Jun-wei, ZHANG Han, ZHOU Yang, LI Jing, GAN Yong, SHEN Li-jun. Application value of resting energy metabolism measurement in nutritional support of postoperative patients with gastric cancer[J]. Chinese Journal of General Practice, 2022, 20(11): 1828-1830. doi: 10.16766/j.cnki.issn.1674-4152.002712
Citation: YANG Ting-ting, GUAN Ke, YANG Yang, WANG Wen, WANG Wei-xiang, BAI Jun-wei, ZHANG Han, ZHOU Yang, LI Jing, GAN Yong, SHEN Li-jun. Application value of resting energy metabolism measurement in nutritional support of postoperative patients with gastric cancer[J]. Chinese Journal of General Practice, 2022, 20(11): 1828-1830. doi: 10.16766/j.cnki.issn.1674-4152.002712
shu

Application value of resting energy metabolism measurement in nutritional support of postoperative patients with gastric cancer

doi: 10.16766/j.cnki.issn.1674-4152.002712
  • 1.

    Department of Nutrition, Henan Provincial People ' s Hospital and Zhengzhou University People ' s Hospital, Zhengzhou, Henan 450003, China

Funds:

 2019M652544

  • Received Date: 2021-07-27
    Available Online: 2022-12-30
    Abstract
  •   Objective  To explore the value of nutrition support based on resting energy metabolism measurement in postoperative patients with gastric cancer, and provide a reference for improving postoperative nutritional status and accelerating postoperative rehabilitation.  Methods  Using the method of retrospective analysis, 36 patients with radical gastrectomy treated in the Department of Gastrointestinal Surgery of Henan Provincial People ' s Hospital from June 2019 to December 2019 and estimated by resting energy metabolism method were included in the study group. In addition, 42 patients with radical gastrectomy treated in the same period and estimated by the Harris-Benedict (HB) formula method were included as the control group. The total protein, albumin, red blood cell, haemoglobin, lymphocyte ratio and C-reactive protein were measured at 1, 3, 5 and 7 days after the operation, and the postoperative infection and hospital stay were compared.  Results  The resting energy expenditure (REE) of the study group on the first day after operation was (1 557.00±432.65) kcal/d, which was significantly higher than of the control group estimated by the HB formula (1 331.87±149.65) kcal/d (P < 0.05). The levels of total protein and albumin in the study group on the 5th and 7th day after operation were significantly higher than those in the control group (all P < 0.05), and the levels of C-reactive protein were significantly lower than those in the control group (all P < 0.05). The hospital stay in the study group [(10.95±3.99) d] was less than that in the control group [(13.69±2.98) d], with a statistically significant difference (P < 0.05).  Conclusion  Resting energy measurement method can accurately evaluate the energy changes of postoperative gastric cancer patients, and provide a practical basis for postoperative nutritional support, which is conducive to improving the nutritional status and has important value in promoting postoperative rehabilitation.

     

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