首页|早期微生态肠内营养支持联合穴位按摩对腹腔镜胃癌术后患者胃肠功能恢复及营养状况的影响

早期微生态肠内营养支持联合穴位按摩对腹腔镜胃癌术后患者胃肠功能恢复及营养状况的影响

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目的 探究早期微生态肠内营养支持联合穴位按摩对腹腔镜胃癌术后患者胃肠功能恢复及营养状况的影响.方法 选取 2021 年 3 月—2023 年 3月聊城市东昌府人民医院收治的 82 例腹腔镜胃癌术后患者为研究对象,按随机数字表法将分为对照组(n=41)和观察组(n=41).对照组采用常规术后干预,观察组在此基础上采用早期微生态肠内营养支持联合穴位按摩.比较两组患者的胃肠功能恢复状况、营养状况、生活质量及并发症发生情况.结果 观察组的术后首次排气时间、首次排便时间及肠鸣音恢复时间均短于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的血清总蛋白、白蛋白、前白蛋白水平均高于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的生活质量综合评定问卷中各维度评分均高于对照组,组间差异有统计学意义(P<0.05).观察组的并发症总发生率为 7.32%,低于对照组的 24.39%,差异有统计学意义(P<0.05).结论 早期微生态肠内营养支持联合穴位按摩可促进腹腔镜胃癌术后患者的胃肠功能恢复,改善其营养状况,提高其生活质量.
Effect of Early Microecological Enteral Nutrition Support Combined with Acupressure on Gastrointestinal Function Recovery and Nutritional Status in Patients after Laparoscopic Gastric Cancer Surgery
Objective To investigate the effects of early microecological enteral nutrition support combined with acupressure on gastrointestinal function recovery and nutritional status in patients after laparoscopic gastric cancer surgery.Methods 82 patients after laparoscopic gastric cancer surgery admitted to Liaocheng Dongchangfu People's Hospital from March 2021 to March 2023 were selected as the research objects,and were divided into the control group(n=41)and the observation group(n=41)according to random number table method.The control group received routine postoperative intervention,and the observation group received early microecological enteral nutrition support combined with acupressure on this basis.The gastrointestinal function recovery,nutritional status,quality of life and complications were compared between the two groups.Results The first postoperative exhaust time,first defecation time and bowel sound recovery time in the observation group were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the levels of serum total protein,albumin and prealbumin in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the scores of all dimensions in the generic quality of life inventory-74 of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The total incidence of complications in the observation group was 7.32%,lower than 24.39%in the control group,and the difference was statistically significant(P<0.05).Conclusion Early microecological enteral nutrition support combined with acupressure can promote the recovery of gastrointestinal function,improve the nutritional status and improve the quality of life of patients after laparoscopic gastric cancer surgery.

Gastric cancerLaparoscopic surgeryEarly microecological enteral nutrition supportAcupressureGastroin-testinal function

周博

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聊城市东昌府人民医院普外科,山东聊城 252000

胃癌 腹腔镜手术 早期微生态肠内营养支持 穴位按摩 胃肠功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(6)
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