护士进修杂志
護士進脩雜誌
호사진수잡지
JOURNAL OF NURSES TRAINING
2014年
1期
13-15
,共3页
张琳%佟昕%李秀娥%徐春燕%高春丽%郭宏梅%严谨%李培君%魏莉%路潜
張琳%佟昕%李秀娥%徐春燕%高春麗%郭宏梅%嚴謹%李培君%魏莉%路潛
장림%동흔%리수아%서춘연%고춘려%곽굉매%엄근%리배군%위리%로잠
匀浆膳%肠内营养%口腔颌面部恶性肿瘤%营养状况
勻漿膳%腸內營養%口腔頜麵部噁性腫瘤%營養狀況
균장선%장내영양%구강합면부악성종류%영양상황
Homogenate meal%Enteral nurtition%Oral and maxillofacial malignant tumor%Nutritional support
目的：观察自制匀浆膳对改善口腔颌面部恶性肿瘤患者术后营养状况的效果。方法将70例患者根据随机数字表分组，实验组36例，鼻饲自制匀浆膳；对照组34例，术后常规饮食护理。收集两组术前1 d及术后7 d身体测量指标、实验室指标及临床情况。结果两组患者术后体重均出现下降；对照组BM I与握力较自身术前下降；实验组血红蛋白术后高于对照组，对照组自身较术前下降。两组上臂围（AC）、上臂肌围（AMC）、三头肌皮褶厚度（TSF）、营养状况（Y值评价）、白蛋白术前与术后组内、组间比较差异均无显著意义。对照组有3例、实验组有2例患者出现腹胀、腹泻，给予调整后症状均缓解。结论自制匀浆膳有助于改善此类患者术后营养状况。
目的：觀察自製勻漿膳對改善口腔頜麵部噁性腫瘤患者術後營養狀況的效果。方法將70例患者根據隨機數字錶分組，實驗組36例，鼻飼自製勻漿膳；對照組34例，術後常規飲食護理。收集兩組術前1 d及術後7 d身體測量指標、實驗室指標及臨床情況。結果兩組患者術後體重均齣現下降；對照組BM I與握力較自身術前下降；實驗組血紅蛋白術後高于對照組，對照組自身較術前下降。兩組上臂圍（AC）、上臂肌圍（AMC）、三頭肌皮褶厚度（TSF）、營養狀況（Y值評價）、白蛋白術前與術後組內、組間比較差異均無顯著意義。對照組有3例、實驗組有2例患者齣現腹脹、腹瀉，給予調整後癥狀均緩解。結論自製勻漿膳有助于改善此類患者術後營養狀況。
목적：관찰자제균장선대개선구강합면부악성종류환자술후영양상황적효과。방법장70례환자근거수궤수자표분조，실험조36례，비사자제균장선；대조조34례，술후상규음식호리。수집량조술전1 d급술후7 d신체측량지표、실험실지표급림상정황。결과량조환자술후체중균출현하강；대조조BM I여악력교자신술전하강；실험조혈홍단백술후고우대조조，대조조자신교술전하강。량조상비위（AC）、상비기위（AMC）、삼두기피습후도（TSF）、영양상황（Y치평개）、백단백술전여술후조내、조간비교차이균무현저의의。대조조유3례、실험조유2례환자출현복창、복사，급여조정후증상균완해。결론자제균장선유조우개선차류환자술후영양상황。
Objective To observe the effect of homemade homogenate meal for postoperative nutritional status for patients with oral and maxillofacial malignant tumors .Method 70 patients with oral and maxillofacial malignant tumor were randomly divided into two groups .36 cases in experimental group were given homemade homogenate meal and 34 cases in control group were given with commercial enteral nutrition and/or selective other food provided by the hospital nutrition department .The nutrition-related indexes were measured before and the seventh day after operation .Result Both of the two groups experienced body weight loss ;BMI ,grip strength and hemoglobin in con-trol group was decreased compared to itself preoperative ;postoperative hemoglobin in the experimental group was increased .The arm circumference(AC) ,arm muscle circumference(AMC) ,triceps skin fold thickness(TSF) ,nu-tritional status(Y value evaluation) and albumin in the two groups showed no significant differences .2 cases in con-trol group and 1 case in experimental group showed abdominal distention and diarrhea ,and all relieved after modula-tion .Conclusion Homemade homogenate meal can reduce gastrointestinal stimulation ,and improve the nutritional status for patients with oral and maxillofacial malignant tumors .
