四川生理科学杂志2024，Vol.46Issue(1) ：130-132.

基于急性胃肠损伤分级的营养支持在改善老年肝癌切除术患者术后患者营养状态及恢复肝功能中的价值探讨

Value of nutritional support based on acute gastrointestinal injury classification in improving nutritional status and restoring liver function in elderly patients after hepatocellular carcinoma resection

刘扬 马沛 董艳萍
四川生理科学杂志2024，Vol.46Issue(1) ：130-132.
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基于急性胃肠损伤分级的营养支持在改善老年肝癌切除术患者术后患者营养状态及恢复肝功能中的价值探讨

Value of nutritional support based on acute gastrointestinal injury classification in improving nutritional status and restoring liver function in elderly patients after hepatocellular carcinoma resection

刘扬 1马沛 1董艳萍1
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作者信息

  • 1. 南阳市第一人民医院胃肠外科,河南 南阳 473000
  • 折叠

摘要

目的:探究基于急性胃肠损伤分级的营养支持应用于老年肝癌切除术后患者对其营养状态及肝功能恢复的影响.方法:选取我院 2020 年 12 月至 2022 年 2 月期间 105 例老年肝癌切除术患者作为研究对象,随机分两组,对照组 52 例给予常规饮食支持,观察组 53 例给予基于急性胃肠损伤分级的营养支持,1 m后,对比两组患者胃肠功能恢复情况、营养状态及肝功能.结果:观察组肠鸣音恢复时间、进食时间、首次排气时间、首次排便时间均低于对照组(P＜0.05);观察组血红蛋白、白蛋白、转铁蛋白、前白蛋白、红细胞水平均高于对照组(P＜0.05);观察组天门冬氨酸氨基转移酶、丙氨酸氨基转移酶、间接胆红素、直接胆红素水平低于对照组(P＜0.05).结论:肝癌切除术后患者应用基于急性胃肠损伤分级的营养支持,可有效改善患者胃肠功能,提高营养状态,促进术后肝功能的恢复.

Abstract

Objective:To explore the effects of nutrition support based on acute gastrointestinal injury classification on nutritional status and liver function recovery in elderly patients after hepatocellular carcinoma resection.Methods:A total of 105 elderly patients with hepatocellular carcinoma resection in our hospital from December 2020 to February 2022 were selected as the research objects,and divided into two groups by random number table methods.Fifty-two patients in the control group were given conventional dietary support,and 53 patients in the observation group were given nutritional support based on the classification of acute gastrointestinal injury.One month later,the recovery of gastrointestinal function,nutritional status and liver function between the two groups were compared.Results:The intestinal sound recovery time,feeding time,first exhaust time and first defecation time in observation group were lower than those in control group(P<0.05).The levels of hemoglobin,albumin,transferrin,prealbumin and red blood cell in observation group were higher than those in control group(P<0.05).The levels of aspartate aminotransferase,alanine aminotransferase,indirect bilirubin and direct bilirubin in observation group were lower than those in control group(P<0.05).Conclusion:The application of nutrition support based on acute gastrointestinal injury classification can effectively improve the gastrointestinal function and nutritional status of patients after hepatocellular carcinoma resection,and promote the recovery of postoperative liver function.

关键词

急性胃肠损伤分级/肝癌/营养支持/营养状态/胃肠功能/肝功能

Key words

Acute gastrointestinal injury classification/Liver cancer/Nutritional support/Nutritional status/Gastrointestinal function/Function of liver

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出版年

2024
四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子：0.575
ISSN：1671-3885
参考文献量8
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