首页|基于三维质量结构模型的个体化营养支持在结肠癌根治术患者围手术期的应用

基于三维质量结构模型的个体化营养支持在结肠癌根治术患者围手术期的应用

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目的 探讨基于三维质量结构模型的个体化营养支持用于结肠癌根治术患者围手术期的临床效果.方法 选取2023年1月至10月于新疆医科大学附属肿瘤医院就诊的400例结肠癌患者作为研究对象,按照随机数字表法将其分为两组,各200例.所有患者接受结肠癌根治术治疗,围手术期接受常规护理,在此基础上对照组接受个体化营养支持,观察组接受基于三维质量结构模型的个体化营养支持.两组患者均护理至出院.记录患者干预前后营养状况[前白蛋白(PA)、白蛋白(Alb)水平],比较两组术后恢复情况及并发症发生情况.结果 干预前,两组PA、Alb水平比较,差异无统计学意义(P>0.05);干预后,两组PA、Alb水平高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05).观察组首次排气时间、首次下床活动时间、住院时间均短于对照组,差异有统计学意义(P<0.05).两组并发症总发生率比较,差异无统计学意义(P>0.05).结论 基于三维质量结构模型的个体化营养支持能够确保结肠癌根治术患者术后康复的营养状态,为身体恢复创造更好的营养条件,避免术后营养状态的持续下降,促进患者术后康复.
Application of personalized nutritional support based on three-dimen-sional quality structure model in perioperative period of patients undergo-ing radical colon cancer surgery
Objective To explore the clinical effect of personalized nutritional support based on three-dimensional quality structure model in pe-rioperative period of patients undergoing radical colon cancer surgery.Methods A total of 400 patients with colon cancer who were treated in the Cancer Hospital Affiliated to Xinjiang Medical University from January to October 2023 were selected as the study objects and they were divided into two groups according to random number table method,with 200 patients in each group.All patients received radical resection of colon cancer and routine nursing during perioperative period.On this basis,the control group received individualized nutrition support,and the observation group received individualized nutrition support based on three-dimensional mass structure model.Both groups were cared for until discharge.The nutritional status(prealbumin[PA]and albumin[Alb]level)of the patients before and after the intervention were recorded,and the postoperative recovery and complications of the two groups were compared.Results Before intervention,there was no significant difference in the levels of PA and Alb between the two groups(P>0.05).After intervention,levels of PA and Alb in both groups were higher than before intervention,and those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The first time of ex-haust,the first time of getting out of bed,and the time of hospitalization in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion The personalized nutritional support based on three-dimensional quality structure model can ensure the nutritional status of postoperative recovery for colon cancer patients after radical surgery,create better nutritional conditions for physical recovery,avoid continuous de-cline in postoperative nutritional status,and promote postoperative recovery for patients.

Colon cancerRadical surgeryPersonalized nutritional supportThree-dimensional quality structure modelPerioperative periodNutritional status

黄咏梅、陈玲、刘娟

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新疆医科大学附属肿瘤医院麻醉与围术期医学中心,新疆乌鲁木齐 830011

新疆医科大学附属肿瘤医院护理部,新疆乌鲁木齐 830011

新疆医科大学附属肿瘤医院胃肠外二病区,新疆乌鲁木齐 830011

结肠癌 根治术 个体化营养支持 三维质量结构模型 围手术期 营养状况

新疆维吾尔自治区自然科学基金资助项目

2022D01C296

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(16)