护理研究
護理研究
호리연구
NURSING RESEARCH
2015年
5期
549-552
,共4页
黄育英%谷欣%桑云华%龙宏杰
黃育英%穀訢%桑雲華%龍宏傑
황육영%곡흔%상운화%룡굉걸
腹内压变异率%胃癌%手术%空肠营养%干预
腹內壓變異率%胃癌%手術%空腸營養%榦預
복내압변이솔%위암%수술%공장영양%간예
intra abdominal pressure variation rate%gastric cancer%surgery%enteral nutrition%intervention
[目的]探讨腹内压(IAP)变异率与胃癌术后空肠营养的关系。[方法]选取2011年1月—2013年6月行胃癌手术病人85例,根据病人术后24 h IAP 的变化分为 A 组(24 h IAP 增加>20%,n=28)、B 组(24 h IAP 增加-20%~20%,n =33)和 C 组(24 h IAP 增加<-20%,n=24)。比较3组病人营养指标变化以及术后通气、排便时间和空肠营养耐受性。[结果]3组术后前清蛋白、视黄醇结合蛋白、清蛋白等比较差异有统计学意义,且 A 组、B 组术后前清蛋白、视黄醇结合蛋白、清蛋白等均较 C 组降低,差异有统计学意义(P <0.05)；3组术后通气、排便时间和空肠营养耐受性比较差异有统计学意义(P <0.05)；IAP 与病人营养耐受性呈负相关(P <0.05)；单因素分析结果显示,急性生理与慢性健康评分Ⅲ(ApacheⅢ)、IAP 和年龄为营养耐受性的影响因素；多因素分析结果显示,ApacheⅢ和 IAP 为营养耐受性的影响因素。[结论]IAP 变异率与胃癌术后病人营养耐受性相关,营养耐受性的影响因素有 ApacheⅢ和 IAP,IAP 是评估胃癌术后空肠营养状态的重要指标之一。
[目的]探討腹內壓(IAP)變異率與胃癌術後空腸營養的關繫。[方法]選取2011年1月—2013年6月行胃癌手術病人85例,根據病人術後24 h IAP 的變化分為 A 組(24 h IAP 增加>20%,n=28)、B 組(24 h IAP 增加-20%~20%,n =33)和 C 組(24 h IAP 增加<-20%,n=24)。比較3組病人營養指標變化以及術後通氣、排便時間和空腸營養耐受性。[結果]3組術後前清蛋白、視黃醇結閤蛋白、清蛋白等比較差異有統計學意義,且 A 組、B 組術後前清蛋白、視黃醇結閤蛋白、清蛋白等均較 C 組降低,差異有統計學意義(P <0.05)；3組術後通氣、排便時間和空腸營養耐受性比較差異有統計學意義(P <0.05)；IAP 與病人營養耐受性呈負相關(P <0.05)；單因素分析結果顯示,急性生理與慢性健康評分Ⅲ(ApacheⅢ)、IAP 和年齡為營養耐受性的影響因素；多因素分析結果顯示,ApacheⅢ和 IAP 為營養耐受性的影響因素。[結論]IAP 變異率與胃癌術後病人營養耐受性相關,營養耐受性的影響因素有 ApacheⅢ和 IAP,IAP 是評估胃癌術後空腸營養狀態的重要指標之一。
[목적]탐토복내압(IAP)변이솔여위암술후공장영양적관계。[방법]선취2011년1월—2013년6월행위암수술병인85례,근거병인술후24 h IAP 적변화분위 A 조(24 h IAP 증가>20%,n=28)、B 조(24 h IAP 증가-20%~20%,n =33)화 C 조(24 h IAP 증가<-20%,n=24)。비교3조병인영양지표변화이급술후통기、배편시간화공장영양내수성。[결과]3조술후전청단백、시황순결합단백、청단백등비교차이유통계학의의,차 A 조、B 조술후전청단백、시황순결합단백、청단백등균교 C 조강저,차이유통계학의의(P <0.05)；3조술후통기、배편시간화공장영양내수성비교차이유통계학의의(P <0.05)；IAP 여병인영양내수성정부상관(P <0.05)；단인소분석결과현시,급성생리여만성건강평분Ⅲ(ApacheⅢ)、IAP 화년령위영양내수성적영향인소；다인소분석결과현시,ApacheⅢ화 IAP 위영양내수성적영향인소。[결론]IAP 변이솔여위암술후병인영양내수성상관,영양내수성적영향인소유 ApacheⅢ화 IAP,IAP 시평고위암술후공장영양상태적중요지표지일。
Objective:To probe into the relationship between intra abdominal pressure variation rate and post-operative jejunum nutrition of gastric cancer patients.Methods:A total of 85 cases of patients with gastric cancer undergoing operation from 201 1 January to 2013 June,according to the 24 h IAP changes,the postoperative pa-tients were divided into group A (24 h IAP >20% increased,n =28),group B(24 h IAP increased- 20% ~20%,n=33)and group C(24 h<-20% IAP to increase the rent,n =24).The nutritional index changes and postoperative ventilation,defecation time and jejunum nutrition tolerance of patients were compared among 3 groups.Results:There was statistically significant difference in postoperative prealbumin,retinol binding protein and albumin among 3 groups.The postoperative prealbumin,retinol binding protein and albumin of group A and group B were lower than those in group C,and the difference was statistically significant (P <0.05);there was statistically significant difference in postoperative ventilation,defecation time and jejunum nutrition tolerance of patients among 3 groups (P <0.05);IAP was negatively correlated with nutrient tolerance of patients (P<0.05);the single factor analysis showed that the influencing factors of nutrition tolerance included Apache III,IAP and age;multi factor analysis showed that the influencing factors of nutrition tolerance were Apache III and IAP. Conclusion:IAP variability is correlated with postoperative nutrition tolerance of patients with gastric cancer,the influencing factors of nutritional tolerance include Apache III and IAP,and IAP is one of the important indexes of assessing postoperative jejunum nutrition status of patients with gastric cancer.
