多学科营养管理模式对机器人辅助胃癌根治术患者的干预效果及影响因素分析

打开文本图片集

中图分类号 R735.2R473.73文献标识码A文章编号 2096-7721（2026）03-0452-08

Intervention effects and influencing factors of multidisciplinary nutritional management in patients undergoing robot-assisted radical gastrectomy

（Departentclli

AbstractObjective：Toevaluate theefectivenessofamultidisciplinaryutritionalmanagement （MDM）odelinatientsundergoing robot-aistedalstrccdttiftsegoofroaltet patientswhounderwentrobot-asistedradical gastrectomyfromJanuary2O23toJanuary2025wereincluded.Theyweredividedintothe control group （ n= 110，received routine nutritional care）and the intervention group （ n= 110，receivedMDNM inaddition to routine nutritional care）.Postoploestes lifewereompaedetwntetooups.MultivaateLgistcgresioaalsisasperfodtodentifindepedentfctoeing nutritionalintervetionoutcomes.Results：Compaedwiththeontrolgoup，theintervetiongouphowedsignifcantlyetercoes acrossalluoaliatosdelccs，itkdprotiGodprootsi adequateutriialarprtsiielififsisialotall healthstatusigitelossdnool）alantlarteoouneioo 0 P <0.05）. Logistic regression analysis identified age ⩾70 years， nutritional risk screening （NRS） score ⩾3 ，BMI<18.5kg/m²， initiation of postoperative enteral nutrition >48h ，and absence of a nutritional access route during surgery as independent risk factors for suboptimal response to nutritional intervention （P<0.05） . Conclusion： The MDNM model can significantly improve postoperative nutritional status， selfeffcacylevels，ndaliyfifinatitsderggbotassistedicalstrtochsainlialaaiou. Forpatientswidandge，igutriioalisoplexsgicalatoydiualiditetiosateissulddeto optimize outcomes.

KeyWordsGastricCancer;Robot-assstedSurgery;Nutritional Management; MultidisciplinaryTeam; QualityofLife

胃癌是全球范围内高发的消化道恶性肿瘤之一，尤其在东亚国家具有极高的发病率与病死率。（剩余12652字）