目的：探讨追踪营养护理方案在达芬奇机器人辅助肝癌术后放疗患者中的应用效果。方法：选取西 安交通大学第一附属医院 2021 年 6 月—2023 年 5 月行达芬奇机器人辅助肝癌术后放疗的 122 例患者，按照随机数 表法分为对照组（61 例，行常规护理方案）和研究组（61 例，行追踪营养护理方案），比较两组患者的营养指标、 生活质量及不良反应发生情况。结果：与护理前相比，护理后两组患者 BMI、血红蛋白（Hb）、白蛋白（Alb）、 总蛋白（TP）均升高，且研究组高于对照组（P<0.05）。与护理前相比，护理后两组患者欧洲癌症研究与治疗组织 生活质量问卷（EORTC QLQ-C30）各项评分均升高，且研究组评分高于对照组（P<0.05）。研究组的不良反应总发 生率低于对照组（P<0.05）。结论：追踪营养护理方案应用于达芬奇机器人辅助肝癌术后放疗患者，可有效改善患 者营养情况，提高生活质量，降低不良反应发生率，值得临床推广。

Objective: To explore the application effect of nutritional follow-up in patients who underwent robotassisted surgery for liver cancer and radiotherapy. Methods: 122 patients who underwent Da Vinci robot-assisted surgery for liver cancer and radiotherapy in the First Affiliated Hospital of Xi’an Jiaotong University from June 2021 to May 2023 were selected. They were divided into the control group (n=61) and the study group (n=61) using a random number table. The control group received conventional nursing, and the study group received nutritional follow-up intervention. The nutritional indicators, quality of life, and occurrence of adverse reactions of patients in the two groups were compared. Results: Compared with that before intervention, BMI, hemoglobin (Hb), albumin (Alb), and total protein (TP) of patients in the two groups were all increased after intervention, and they were higher in the study group than those in the control group (P<0.05). Compared with that before intervention, the scores of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) were increased in the two groups after intervention, and they were higher in the study group than those in the control group (P<0.05). The total incidence rate of adverse reactions was lower in the study group than that in the control group (P<0.05). Conclusion: Application of nutritional follow-up in patients who underwent Da Vinci robot-assisted surgery for liver cancer and radiotherapy can effectively improve nutritional status, quality of life of patients, and reduce the incidence rate of adverse reactions, which is worthy of clinical promotion.

收稿日期：2024-03-13  录用日期：2024-04-17 

Received Date: 2024-03-13  Accepted Date: 2024-04-17 

基金项目：陕西省重点研发计划项目（2022SF-423） 

Foundation Item: Key R&D Plan Project of Shaanxi Province (2022HL09) 

通讯作者：魏利敏，Email：limin_w2406@163.com 

Corresponding Author: WEI Limin, Email: limin_w2406@163.com 

引用格式：魏利敏，金鲜珍，刘萍 . 追踪营养护理方案在机器人辅助肝癌术后放疗患者中的应用研究 [J]. 机器人外科学杂志（中英 文），2024，5（6）：1254-1259. 

Citation: WEI L M, JIN X Z, LIU P. Nutritional follow-up in patients underwent robot-assisted surgery for liver cancer and radiotherapy[J]. Chinese Journal of Robotic Surgery, 2024, 5(6): 1254-1259.

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