首页|基于快速康复理念的肠内营养支持对食管癌患者术后营养状况的影响

基于快速康复理念的肠内营养支持对食管癌患者术后营养状况的影响

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目的 分析基于快速康复理念的肠内营养支持对食管癌(EC)患者术后营养状况的影响.方法 选取2021年6月至2022年6月河南省胸科医院收治的78例EC术后患者,随机分为研究组和常规组,各39例.常规组接受基于常规护理理念下肠内营养支持,研究组接受基于快速康复理念的肠内营养支持.对比两组围手术期情况(首次排气、首次排便、下床活动、住院)时间、营养状况[体重(BW)、体重指数(BMI)、血红蛋白(Hb)、白蛋白(Alb)]水平、免疫功能[免疫球蛋白G(IgG)、免疫球蛋白M(IgM)、免疫球蛋白A(IgA)]水平、并发症及健康调查量表(SF-36)评分.结果 研究组首次排气时间、首次排便时间、下床活动时间、住院时间较常规组短(P<0.05);干预后,研究组BW、BMI、Hb、Alb水平较常规组高(P<0.05);干预后,研究组IgG、IgM、IgA水平较常规组高(P<0.05);研究组并发症发生率[5.13%(2/39)]较常规组[23.08%(9/39)]低(P<0.05);干预后,研究组生理机能、生理职能、情感职能评分较常规组高(P<0.05).结论 对EC患者术后给予基于快速康复理念的肠内营养支持,可加快机体恢复,改善免疫功能、营养状况,减少并发症,提高生存质量.
Effect of Enteral Nutrition Support Based on the Concept of Rapid Rehabilitation on the Nutritional Status of Postoperative Patients with Esophageal Cancer
Objective To analyze the impact of enteral nutrition support based on the concept of rapid recovery on the postoperative nutritional status of patients with esophageal cancer(EC).Methods A total of 78 postoperative EC patients admitted to Henan Provincial Chest Hospital from June 2021 to June 2022 were randomly divided into a study group and a conventional group,with 39 cases in each group.The conventional group received enteral nutrition support based on conventional nursing concepts,while the research group received enteral nutrition support based on rapid recovery concepts.The perioperative period(first defecation,first defecation,getting out of bed activity,hospitalization)time,nutritional status[body weight(BW),body mass index(BMI),hemoglobin(Hb),albumin(Alb)]levels,immune function[immunoglobulin G(IgG),immunoglobulin M(IgM),immunoglobulin A(IgA)]levels,complications and health survey scale(SF-36)scores were compared between two groups.Results Compared to the conventional group,the study group had shorter first exhaust time,first bowel movement time,days of getting out of bed activity and length of hospital stay(P<0.05).After intervention,the levels of BW,BMI,Hb,and Alb in the study group were higher than those in the conventional group(P<0.05).After intervention,the levels of IgG,IgM,and IgA in the study group were higher than those in the conventional group(P<0.05).The incidence of complications in the study group[5.13%(2/39)]was lower than that in the control group[23.08%(9/39)](P<0.05).After intervention,the scores of physiological function,physiological function,and emotional function in the study group were higher than those in the conventional group(P<0.05).Conclusion Providing enteral nutrition support based on the concept of rapid recovery to EC patients after surgery can accelerate body recovery,improve immune function and nutritional status,reduce complications and improve quality of life.

esophageal cancerrapid rehabilitation conceptenteral nutritional support

杨连爽

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河南省胸科医院综合监护室,河南郑州 450000

食管癌 快速康复理念 肠内营养支持

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(6)
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