中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
23期
2777-2779
,共3页
李伟%陈克清%范少芳%林娟
李偉%陳剋清%範少芳%林娟
리위%진극청%범소방%림연
食管肿瘤%胸腔镜%营养支持%肠内营养%时机
食管腫瘤%胸腔鏡%營養支持%腸內營養%時機
식관종류%흉강경%영양지지%장내영양%시궤
Esophageal cancer%Thoracoscope%Nutrition support%Enteral nutrition%Timing
目的：探讨全腔镜食管癌术后早期肠内营养支持的最佳时机及其对患者术后恢复情况的影响。方法选取2012年7月—2014年11月在福建医科大学附属协和医院胸外科行手术治疗的食管癌患者202例,按照随机数字表法将患者分成观察组88例和对照组114例。分别于术后8~12 h,24~48 h给予肠内营养。比较两组患者术前1 d、术后第5天、第8天血生化主要营养指标,观察两组患者临床营养支持效果和并发症发生情况。结果术后第5天观察组患者总蛋白及白蛋白含量分别为(57.44±4.61),(29.53±3.05)g/L,均高于对照组的(53.58±5.22),(27.13±3.27)g/L,差异有统计学意义(t值分别为5.48,5.33；P<0.01)。术后第8天观察组患者的总蛋白和白蛋白含量分别为(63.30±4.80),(32.33±3.88)g/L,均高于对照组的(57.42±5.73),(29.75±3.66)g/L,差异有统计学意义(t值分别为7.75,3.35；P<0.01)。对照组有24例患者发生并发症,观察组有16例,两组患者术后并发症的发生率比较,差异无统计学意义(χ2=0.26,P=0.612)。对照组出现胃肠道不适26例,观察组21例,两组患者胃肠道不适发生率比较,差异无统计学意义(χ2=0.03,P=0.860)。结论术后8~12 h内是给予肠内营养的最佳时机,能有效改善患者营养状况且对术后并发症无影响,具有临床可行性。
目的：探討全腔鏡食管癌術後早期腸內營養支持的最佳時機及其對患者術後恢複情況的影響。方法選取2012年7月—2014年11月在福建醫科大學附屬協和醫院胸外科行手術治療的食管癌患者202例,按照隨機數字錶法將患者分成觀察組88例和對照組114例。分彆于術後8~12 h,24~48 h給予腸內營養。比較兩組患者術前1 d、術後第5天、第8天血生化主要營養指標,觀察兩組患者臨床營養支持效果和併髮癥髮生情況。結果術後第5天觀察組患者總蛋白及白蛋白含量分彆為(57.44±4.61),(29.53±3.05)g/L,均高于對照組的(53.58±5.22),(27.13±3.27)g/L,差異有統計學意義(t值分彆為5.48,5.33；P<0.01)。術後第8天觀察組患者的總蛋白和白蛋白含量分彆為(63.30±4.80),(32.33±3.88)g/L,均高于對照組的(57.42±5.73),(29.75±3.66)g/L,差異有統計學意義(t值分彆為7.75,3.35；P<0.01)。對照組有24例患者髮生併髮癥,觀察組有16例,兩組患者術後併髮癥的髮生率比較,差異無統計學意義(χ2=0.26,P=0.612)。對照組齣現胃腸道不適26例,觀察組21例,兩組患者胃腸道不適髮生率比較,差異無統計學意義(χ2=0.03,P=0.860)。結論術後8~12 h內是給予腸內營養的最佳時機,能有效改善患者營養狀況且對術後併髮癥無影響,具有臨床可行性。
목적：탐토전강경식관암술후조기장내영양지지적최가시궤급기대환자술후회복정황적영향。방법선취2012년7월—2014년11월재복건의과대학부속협화의원흉외과행수술치료적식관암환자202례,안조수궤수자표법장환자분성관찰조88례화대조조114례。분별우술후8~12 h,24~48 h급여장내영양。비교량조환자술전1 d、술후제5천、제8천혈생화주요영양지표,관찰량조환자림상영양지지효과화병발증발생정황。결과술후제5천관찰조환자총단백급백단백함량분별위(57.44±4.61),(29.53±3.05)g/L,균고우대조조적(53.58±5.22),(27.13±3.27)g/L,차이유통계학의의(t치분별위5.48,5.33；P<0.01)。술후제8천관찰조환자적총단백화백단백함량분별위(63.30±4.80),(32.33±3.88)g/L,균고우대조조적(57.42±5.73),(29.75±3.66)g/L,차이유통계학의의(t치분별위7.75,3.35；P<0.01)。대조조유24례환자발생병발증,관찰조유16례,량조환자술후병발증적발생솔비교,차이무통계학의의(χ2=0.26,P=0.612)。대조조출현위장도불괄26례,관찰조21례,량조환자위장도불괄발생솔비교,차이무통계학의의(χ2=0.03,P=0.860)。결론술후8~12 h내시급여장내영양적최가시궤,능유효개선환자영양상황차대술후병발증무영향,구유림상가행성。
Objective To explore the best time of initiating enteral nutrition for patients after thoracoscopic resection of esophageal cancer and impacted on Prognosis. Methods A total of 202 esophageal cancer patients were treated in Department of Thoracic Surgery Fujian Medical University Union Hospital, who were divided into experimental group ( n =88 ) and control group ( n =114 ) by random number table and received enteral nutrition 8-12 h and 24-48 h respectively after operation. At 1 d before operation, 5 d, 8 d after operation, we compared the main nutrition indexes of blood chemistry, and observed the effects of clinical nutrition support and incidence of complications. Results Five days after operation, the total protein and albumin of experimental group were (57. 44 ± 4. 61), (29. 53 ± 3. 05) g/L higher than (53. 58 ± 5. 22), (27. 13 ± 3. 27)g/L of the control group (t=5. 48, 5. 33;P<0. 01); they were (63. 30 ± 4. 80),(32. 33 ± 3. 88)g/L in the experimental group higher than (57. 42 ± 5. 73), (29. 75 ± 3. 66) g/L in the control group (t=7. 75, 3. 35;P<0. 01). The incidence rate of complication in two groups had no statistical significance (P>0. 05). There were 24 cases complications in the control group and 16 cases in the experimental group (χ2 =0. 26,P=0. 612). The discomfort patients of gastrointestinal tract was 26 in the control group while it was 21 persons in the experimental group (χ2 =0. 03,P=0. 860). Conclusions The best time of enteral nutrition after operation is 8-12 hours, which can improve the nutritional status of patients and decrease postoperative complications with the clinical feasibility.
