Influence of Postoperative Diet Type and Regimen on Hospital Comfort and Rehabilitation of Lung Cancer Patients

TL;DR

A study found that a post-surgery diet rich in medium chain triglycerides (MCT) improves recovery and comfort for lung cancer patients compared to a regular diet.

Contribution

The study introduces an optimized MCT-based diet regimen that accelerates postoperative recovery in lung cancer patients.

Findings

MCT group patients had shorter postoperative anal exhaust time compared to the routine diet group.

MCT group showed lower rates of dizziness and nausea/vomiting and higher hospital comfort scores.

MCT-based diet reduced average hospitalization costs and improved biochemical indicators.

Abstract

背景与目的 肺癌术后合理、规范的饮食方案与流程有助于患者快速康复。本研究旨在通过优化以中链甘油三酯（medium chain triglyceride, MCT）为主的饮食方案与流程，探讨其对肺癌患者术后康复的临床优势。方法 收集2023年10月至2023年12月在四川大学华西医院肺癌中心行肺癌手术的患者共156例，其中MCT组76例和常规饮食（routine diet, RD）组80例，分析比较两组患者术后临床症状、生化指标、术后住院时间及费用、膳食满意度与住院舒适度等指标的差异。结果 术后肛门排气时间MCT组为24.00（9.75, 36.97）h，显著短于RD组的28.50（24.00, 48.00）h（P<0.001）；MCT组头晕和恶心呕吐发生率分别为18.42%和6.58%，显著低于RD组的51.25%和31.25%（P<0.001, P<0.001）；MCT组住院舒适度评分为（16.74±1.70）分，显著高于RD组的（14.83±2.34）分（P=0.016）；MCT组平均住院费用为（39,701.82±8105.47）¥，显著低于RD组的（44,511.79±9593.19）¥（P=0.007）。结论 肺癌患者术后以MCT为主的饮食方案与流程优化有助于促进患者胃肠功能的恢复，提高住院舒适度并加速术后康复。

Comparison of pathophysiological characteristics of the lung cancer patients between MCT group and RD group

The diet regimen and procedure of the lung cancer patients between MCT group and RD group

Comparison of dietary satisfaction, hospitalization comfort and hospitalization expenses survey results of the lung cancer patients between MCT group and RD group

Comparation of post-operative anus exhaust time and chest drainage volume/time between MCT group and RD group

Comparation of post-operative clinical indexes and post-hospitalization time between MCT group and RD group

Comparation of post-operative albumin, liver and renal functions between the MCT group and RD group in the patients with lung cancer