Effect Of Nutritional Support On The Short-Term Prognosis Of Patients With Nutritional Risk In Hepatopancreatobiliary Surgery

Objective: To screen the incidence of malnutrition and nutritional risk and the application of nutritional support in hepatopancreatobiliary surgery patients in a third grade class-A hospital,and to analyze the effect of nutritional support on the short-term prognosis of hepatocellular carcinoma patients at nutritional risk.Methods: According to inclusion criteria and exclusion criteria,the study subjects were selected from the inpatients in hepatopancreatobiliary surgery of our hospital from October 2018 to December 2019.For patients who met the requirements of the descriptive study,the incidence of nutritional risk and malnutrition was investigated,and the situation of nutritional support was recorded.On the basis of the descriptive study,patients who met the requirements of the cohort study were selected and their nutrition-related indicators,incidence of complications and length of stay were recorded.Results: A total of 1679 patients were enrolled in the descriptive study,among them the prevalence of nutritional risk was 18.28%,the prevalence of malnutrition was 7.98% with BMI <18.5kg/m2 as the criterion for malnutrition assessment,the prevalence rate of malnutrition was10.00% with the nutritional status score of 3 as the standard of malnutrition assessment.Among all the diseases,the highest prevalence of nutritional risk was 60.78% in patients with liver cancer,followed by pancreatic cancer and gallbladder cancer patients.The prevalence of nutritional risk of patients with gallbladder stones and gallbladder polyps was low,and the lowest nutritional risk of patients with gallbladder polyps was 4.12%.In all patients,there were 213 cases(12.69%)with nutritional support,the rate of nutritional support for patients with nutritional risk was 43.65%,the rate of nutritional support in patients with no nutritional risk was 5.76%.Finally,89 patients with liver cancer with nutritional risk were included in the cohort study,and the rate of nutritional support was 69.66%.They were divided into nutritional support groups and non-nutritional support groups according to whether or not they used nutritional support.In the nutritional support group,hemoglobin,prealbumin,albumin and lymphocyte counts were significantly improved after the application of nutritional support(P < 0.01).The complication rate of liver cancer patients in the nutritional support group was 14.51%,and the average length of hospitalization was 11.1±1.5 days.The rate of complications and average length of stay in the nutritional support group were lower than those in the non-nutritional support group.Conclusion: In hepatopancreatobiliary surgery,patients with malignant tumors such as liver cancer,gallbladder cancer and pancreatic cancer have a higher incidence of malnutrition and nutritional risk than patients with benign diseases.The application of nutritional support to liver cancer patients with nutritional risk can improve their nutrition-related biochemical indicators,reduce the incidence of complications and reduce the length of hospitalization.