Malnutrition Clinical Trial
Official title:
This Preliminary Study Was Designed to Explore a New Biological Method for Nutritional Assessment by Measuring Oral Mucosal Epithelial Cell Apoptosis Rate and Guideline to Clinical Nutrition Support Therapy for Improving Clinical Outcome of Malnourished Patients.
1. Clinical nutritional support therapy is an important progress of modern medicine.
2. Conventional methods of clinical nutrition assessment (Anthropometric, lab, etc.) not
just lack of accuracy and immediacy but also difficult to dynamically reflect the
fluctuation trend of nutrition status.
3. It has been reported that malnutrition affects proliferation and apoptosis of human
cells in vivo. This preliminary study was initiated by the hypothesis that changes in
nutritional status may be reflected rapidly in fast proliferating cells.
4. In the previous studies the investigators already found that apoptosis rate of oral
mucosal epithelium could reflect changes in nutritional status.There were an obvious
decreasing in apoptosis and proliferation rate of oral mucosal epithelium in
malnourished patients.
5. Based on the patient's curve of apoptosis rate of oral mucosal epithelium, the plateau
being achieved by increase the nutrition amount continuously, Maintain this amount of
nutrition given until the end of treatment. The investigators call this amount of
nutrition the "upper limit nutrition support therapy".
6. The patients applying for"upper limit nutrition support therapy" and "Formula nutrition
support therapy" separately, comparing of the two methods influences on postoperative
wound healing, postoperative complication rate ,inflammatory response, side effects of
chemotherapy, hospital stays and hospitalization expenses.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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