Effect of Different Nutritional Support Programs on Prognosis of Patients Undergoing Liver Surgery With Nutritional Risk
Objective Explore the impact of different nutritional support programs on the prognosis of liver surgery patients with nutritional risks.Methods Using a queue study method,clinical data of 286 liver surgery patients who underwent surgical treatment at the First People's Hospital of Chenzhou City from January 2021 to December 2023 were continuously collected at designated locations.Patients with NRS2002 scores≥3 points were divided into four queues based on different nutritional support schemes used during the perioperative period(scheme 1,scheme 2,scheme 3,and scheme 4 groups each accounted for 61,76,78,and 71 cases),and the effects of different nutritional support schemes on hospitalization time,incidence of infectious complications,and hospitalization costs of patients with nutritional risks were analyzed.Results A total of 17 cases(5.94%)of infectious complications occurred,with 3 cases(4.92%),3 cases(3.95%),4 cases(5.13%),and 7 cases(9.86%)of Scheme 1,Scheme 2,Scheme 3,and Scheme 4 respectively.The hospitalization time of the four groups of patients were(10.97±6.31)days,(11.72±5.64)days,(11.68±7.31)days,and(12.49±9.47)days,respectively,with no statistically significant difference(P>0.05);the hospitalization expenses were(41 842.76±24 231.49)yuan,(39 467.46±23 491.75)yuan,(33 761.46±14 983.73)yuan,and(31 448.61±16 911.87)yuan,respectively.Scheme 1 was significantly higher than the other three schemes(P<0.05).Among patients with NRS2002 scores≥3 points and<5 points,there was no statistically significant difference(P>0.05)in the length of hospital stay and incidence of infectious related complications among patients receiving nutritional support scheme 1,scheme 2,scheme 3,and scheme 4.The hospitalization expenses of patients in scheme 1 were higher than those in other plans(P<0.05).Among patients with NRS2002 scores≥5 points,the incidence of infectious complications in patients receiving nutritional support programs 1,2,3,and 4 was 6.25%(2/32),2.70%(1/37),5.56%(2/36)and 13.33%(4/30),respectively.The incidence of infectious complications in patients receiving program 4 was higher than that in other programs(P<0.05);The hospitalization expenses of patients in Plan 1 were higher than those in other plans(P<0.05).Conclusion A reasonable nutritional support plan can provide reliable nutrition supply for patients,reduce potential nutritional risks,minimize the risk of infectious complications,and promote patient recovery and discharge.This nutritional support strategy has strong feasibility for application.
万方数据
维普
