摘要
目的研究个体化营养护理方案对直肠癌前切除患者术后恢复作用效果.方法选取2015-01/2017-01在杭州市萧山区第一人民医院接受手术治疗直肠癌患者140例,依据随机数字表法将患者分成2组:试验组(70例)采用个体化的营养护理方案,对照组(70例)采用常规的护理方案;观察患者手术以后的恢复情况,包含排气时间、排便时间、住院时间、肠外的营养时间、引流管的拔出时间和拆线的时间等,患者手术以后的排便功能、并发症情况,患者手术前后体内营养变化情况.结果手术后试验组患者在排气时间、排便时间、住院时间和肠外的营养时间方面均低于对照组,对比差异有统计学意义(P<0.05);试验组患者排便能力优的人数多于对照组,差的人数少于对照组,2组对比差异有统计学意义(P<0.05);试验组手术以后共有10例患者出现并发症,对照组有30例出现并发症,2组对比差异有统计学意义(P<0.05);2组患者手术后第1天血红蛋白水平、体重、总蛋白水平和体质量指数较治疗前均明显下降,对比差异有统计学意义(P<0.05),2组患者手术后1 wk其血红蛋白水平、体重、总蛋白水平比手术后1 d有明显回升,且试验组患者恢复的更好,2组对比差异有统计学意义(P<0.05).结论个体化的营养护理能够加快患者胃肠道的能力恢复,手术后的并发症降低,使患者的营养状况更快地恢复,排便功能也更好,值得在临床推广使用.
AIM To evaluate the effect of individualized nutrition nursing program on postoperative recovery in rectal cancer patients undergoing anterior resection.METHODS A total of 140 patients with rectal cancer who underwent surgical treatment from January 2015 to January 2017 were randomly divided into either a study group（70 cases） to receive individualized nutrition nursing program or a control group（70 cases） to receive routine nursing program. Times to anal exhaust and defecation, length of stay, parenteral nutrition duration, times to removal of drainage tube and stitch removal were compared between the two groups. Defecation function, complications, and changes in nutrition status between before and after surgery were also recorded.RESULTS Times to anal exhaust and defecation, lengthof stay, and parenteral nutrition duration were significantly lower in the study group than in the control group（P 〈 0.05）. The number of patients with good defecation ability was significantly higher in the study group than in the control group（P 〈 0.05）. The number of patients with complications was significantly lower in the study group than in the control group（10 vs 30, P 〈 0.05）. Hemoglobin level, body weight, total protein level, and Body Mass Index on postoperative day 1 decreased significantly in both groups compared with the values before surgery（P 〈 0.05）; however, hemoglobin level, body weight, and total protein level on postoperative day 7 increased significantly in both groups compared with the values on postoperative day 1（P 〈 0.05）, and the increase was more significant in the study group than in the control group（P 〈 0.05）.CONCLUSION Individualized nutrition nursing can speed up the recovery of gastrointestinal function, reduce postoperative complications, and improve the nutritional status in rectal cancer patients undergoing anterior resection.
作者
徐赟
高利云
徐丹
Yun Xu Li-Yun Gao Dan Xu(Health Center, the First People＇s Hospital of Xiaoshan District of Hangzhou, Hangzhou 311203, Zhejiang Province, China Department of Anorectal Medicine, the First People＇s Hospital of Xiaoshan District of Hangzhou, Hangzhou 311203, Zhejiang Province, China Intensive Care Unit, the First People＇s Hospital of Xiaoshan District of Hangzhou, Hangzhou 311203, Zhejiang Province, China.)
出处
《世界华人消化杂志》
CAS
2017年第24期2214-2219,共6页
World Chinese Journal of Digestology
关键词
个体化营养护理
直肠癌
术后恢复效果
Individualized nutrition nursing
Rectal cancer
Postoperative recovery effect
