CAJ | 학술논문

目的比较早进食与传统进食对妇科肿瘤患者术后康复的影响.方法将143例妇科恶性肿瘤患者随机分为早进食组71例和传统饮食组72例,早进食组患者术后6 h进流质饮食,24 h后开始少量多次地普通饮食;传统饮食组患者是术后禁食,肠蠕动恢复后开始进流质饮食,半流质饮食,慢慢过渡到普通饮食.比较两组患者术后并发症及住院时间.结果早进食组患者住院时间(4.7±1.9)d,传统饮食组患者为(5.8±2.3)d,差异有统计学意义(P＜0.01).早进食组患者术后满意度高于传统饮食组,并发症和感染率低于传统饮食组(P＜0.05).两组恶心、呕吐、止痛剂应用、疼痛及生活质量比较差异无统计学意义(P＞0.05).结论术后早进食对妇科恶性肿瘤患者的康复有积极作用.
목적 비교조진식여전통진식대부과종류환자술후강복적영향.방법 장143례부과악성종류환자수궤분위조진식조71례화전통음식조72례,조진식조환자술후6 h진류질음식,24 h후개시소량다차지보통음식;전통음식조환자시술후금식,장연동회복후개시진류질음식,반류질음식,만만과도도보통음식.비교량조환자술후병발증급주원시간.결과 조진식조환자주원시간(4.7±1.9)d,전통음식조환자위(5.8±2.3)d,차이유통계학의의(P＜0.01).조진식조환자술후만의도고우전통음식조,병발증화감염솔저우전통음식조(P＜0.05).량조악심、구토、지통제응용、동통급생활질량비교차이무통계학의의(P＞0.05).결론 술후조진식대부과악성종류환자적강복유적겁작용.
Objective To compare with the early postoperative feeding to traditional diet gynecological cancer patients rehabilitation influence. Methods 143 gynecological cancer patients were randomly divided into early feeding group (n =71) and traditional diet group (n =72); Patients in early feeding group were treated with liquid diet 6 hours after operation and a small amount of normal diet in many times 24 h after operation.Patients in traditional group were fasting after operation, liquid diet after rehabilitation of peristalsis, semi-liquid diet and normal feeding in the end. The complications and staying-in-hospital time between the two groups were compared. Results The mean staying-in-hospital time in first group was (4.7 ± 1.9) d, the other group was (5.8 ±2.3)d, and the difference has reached the statistical significance (P＜0. 01). The satisfaction in first group was higher than the normal group, the complications and infection rate were lower (P ＜ 0. 05). However,we did not found the differences in the nausea, vomiting, analgesics application and life quality between the two groups (P ＞ 0. 05). Conclusions Early postoperative feeding was positively useful for the recovery of gynecological cancer patients.