CAJ | 학술논문

目的：探讨肝癌肝切除术后护理中不同进食时间对患者肝功能指标及术后恢复的影响。方法：收集本院肝胆外科2010年1月-2015年1月收治的原发性肝癌患者60例，按照随机数字表法分为观察组和对照组，每组30例，患者营养均以脂肪、葡萄糖、维生素、氨基酸以及微量元素。对照组给予常规进食，观察组给予早期不同时间（术后第1~7天）进食，观察患者肝功能指标和术后恢复情况。结果：观察组术后感染率为16.7%，明显低于对照组的46.7%，比较差异具有统计学意义（P<0.05），但两组死亡率差异无统计学意义。术后第1天两组肝功能指标（AL、AST、STB）和营养指标（ALB、TRF）比较，差异无统计学意义，但术后第7天肝功能指标差异具有统计学意义（P<0.05），而营养指标差异无统计学意义。观察组留置胃管时间、肛门恢复排气时间、术后开始排便时间均短于对照组，比较差异具有统计学意义（P<0.05），说明观察组胃肠功能恢复较对照组快。结论：肝癌切除术后根据患者疾病病情给予不同类型的食物，可以明显改善患者肝功能以及提高患者促进患者胃肠功能恢复。
목적：탐토간암간절제술후호리중불동진식시간대환자간공능지표급술후회복적영향。방법：수집본원간담외과2010년1월-2015년1월수치적원발성간암환자60례，안조수궤수자표법분위관찰조화대조조，매조30례，환자영양균이지방、포도당、유생소、안기산이급미량원소。대조조급여상규진식，관찰조급여조기불동시간（술후제1~7천）진식，관찰환자간공능지표화술후회복정황。결과：관찰조술후감염솔위16.7%，명현저우대조조적46.7%，비교차이구유통계학의의（P<0.05），단량조사망솔차이무통계학의의。술후제1천량조간공능지표（AL、AST、STB）화영양지표（ALB、TRF）비교，차이무통계학의의，단술후제7천간공능지표차이구유통계학의의（P<0.05），이영양지표차이무통계학의의。관찰조류치위관시간、항문회복배기시간、술후개시배편시간균단우대조조，비교차이구유통계학의의（P<0.05），설명관찰조위장공능회복교대조조쾌。결론：간암절제술후근거환자질병병정급여불동류형적식물，가이명현개선환자간공능이급제고환자촉진환자위장공능회복。
Objective:To evaluate hepatic resection care effects of different feeding time for liver function of patients and postoperative recovery.Method: 60 primary liver cancer patients in our hospital from January 2010 to January 2015 were selected, and according to a random number table were divided into two groups, both were given fat nutrition, glucose, vitamins, amino acids and trace elements. The control group was given regular diet, the observation group was given earlier at different times (the first day until the seventh day after surgery) ate, to observe liver function and postoperative recovery of the two groups.Result: The postoperative infection rate was 16.7%, which was significantly lower than 46.7% of the control group, the difference was statistically significant (P<0.05), differences in mortality between the two groups was not statistically significant (P>0.05). After the first day of liver function (AL, AST, STB) and nutrition indicators (ALB, TRF) between the two groups showed no significant difference, after the seventh day, liver function was statistically significant in the difference between the two groups (P<0.05), but utrition indicators had no difference. Gastric tube indwelling time of the observation group, anal exhaust recovery time after surgery defecation time was shorter than the corresponding time of the control group, the difference was statistically significant (P<0.05), which meant the observation group than the control group recovery of gastrointestinal function faster.Conclusion:The liver resection given different types of food according to the patient disease conditions, can significantly improve liver function and promote gastrointestinal function in patients to improve patient recovery.