三位一体围术期营养干预在喉部分切除术患者中的应用
Application of trinity perioperative nutrition intervention in patients with partial laryngectomy
高文芳 1张莉 2朱香君 1何爱琴 1张洁 1孙有惠3
作者信息
- 1. 兰州大学第一医院耳鼻咽喉头颈外科, 兰州 730000
- 2. 兰州大学第一医院骨科, 兰州 730000
- 3. 兰州大学第一医院感染科, 兰州 730000
- 折叠
摘要
目的 探讨"医生-营养师-护士"三位一体围术期营养干预在喉部分切除术喉癌患者中的应用效果.方法 以2018 年1 月至2022 年3 月在兰州大学第一医院择期行喉部分切除术的喉癌患者 72 例为研究对象,按照入院先后顺序分为对照组34 例和观察组38 例.对照组应用常规围术期营养管理,观察组接受"医生-营养师-护士"三位一体围术期营养干预.运用血清总蛋白(TP)、白蛋白(ALB)、体质指数(BMI)、术后胃肠道不良反应发生率和术后平均住院时间等指标分析三位一体围术期营养干预的应用效果.结果 入院 24 h内,两组的TP、ALB和BMI比较差异均无统计学意义(均P>0.05),出院前 1 d,观察组的ALB、TP、BMI等指标改善优于对照组,差异均有统计学意义(均P<0.05);观察组术后胃肠道不良反应发生率及术后平均住院时间均低于对照组,差异均有统计学意义(均P<0.05).结论"医生-营养师-护士"三位一体围术期营养干预能够有效改善喉癌喉部分除术患者的营养状况,促进术后胃肠功能恢复,加速患者康复,缩短术后住院时间.
Abstract
Objective To explore the application effect of"doctor-nutritionist-nurse"trinity perioperative nu-trition intervention in patients with laryngeal cancer after partial laryngectomy.Methods A total of 72 patients with la-ryngeal cancer who underwent partial laryngectomy in this hospital from January 2018 to March 2022 were selected as the study objects,and were divided into control group(34 cases)and observation group(38 cases)according to the order of admission.The control group received conventional perioperative nutrition management,and the observation group re-ceived the trinity perioperative nutrition intervention of"doctor-nutritionist-nurse".Total protein(TP),albumin(ALB),body mass index(BMI),the incidence of postoperative gastrointestinal adverse reactions and the average length of postoperative hospital stay were used to analyze the application effect of the trinity nutrition intervention.Re-sults Within 24 hours after admission,there were no statistically significant differences in TP,ALB and BMI between the two groups(P>0.05).One day before discharge,the indexes of ALB,TP and BMI in the observation group were better than those in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative gastrointestinal adverse reactions and the average length of hospital stay in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions The trinity perioperative nutrition intervention of"doctor-nutritionist-nurse"can effectively improve the nutritional status of patients with laryngeal cancer undergoing partial laryngeal resection,promote postoperative gastrointestinal function recovery,ac-celerate patient recovery,and shorten postoperative hospital stay.
关键词
头颈部肿瘤/医生-营养师-护士三位一体/营养干预/喉癌/喉部分切除术Key words
Head and neck tumor/"Doctor-nutritionist-nurse"/Nutritional intervention/Throat cancer/Partial laryngectomy引用本文复制引用
基金项目
甘肃省自然科学基金(21JR7RA363)
兰州大学第一医院院内项目(21JR7RA363)
出版年
2024
NETL
NSTL
维普
万方数据