基于快速康复理念的肠内营养支持在食管癌术后患者中的应用

钱多云; 李多杰; 袁培培; 孙欢

doi:10.16766/j.cnki.issn.1674-4152.001523

基于快速康复理念的肠内营养支持在食管癌术后患者中的应用

doi: 10.16766/j.cnki.issn.1674-4152.001523

亳州市人民医院胸外科, 安徽亳州 236800

基金项目:

安徽省高新自然科学基金重点项目(KJ2017A218)

详细信息

通讯作者:
钱多云,E-mail:530848478@qq.com

中图分类号: R473.73
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- 被引次数: 0
出版历程
- 收稿日期: 2020-01-13
- 网络出版日期: 2022-08-06

Application of enteral nutrition support based on the concept of rapid rehabilitation in patients with esophageal cancer after operation

Department of Thoracic Surgery,Bozhou People's Hospital,Bozhou,Anhui 236800,China

摘要

摘要: 目的观察基于快速康复理念的肠内营养(enteral nutrition,EN)支持在食管癌术后患者中的应用效果。方法选取2017年1月—2019年9月亳州市人民医院收治的食管癌患者共60例,使用随机数字法分成对照组(30例)与观察组(30例)。其中对照组患者采用常规护理理念下肠内营养支持干预,观察组采用基于快速康复理念下的肠内营养支持干预。比较2组患者干预前、后营养指标、免疫功能指标、术后恢复情况、并发症发生率及患者对护理干预的满意率。结果 2组患者干预后营养指标均明显提升,观察组患者营养指标水平明显高于对照组(均P<0.001)。干预后2组患者机体内的免疫反应指标水平均有所上升,其中观察组患者机体内的各项免疫反应指标水平明显高于对照组(均P<0.001)。观察组患者首次排气、首次排便、首次下床活动、术后住院时长均少于对照组(均P<0.01)。观察组患者在住院过程中并发症的发生率(6.67%)明显少于对照组(26.67%),χ²=4.320,P=0.038。观察组患者住院期间对护理的总满意率明显高于对照组(100.00%vs. 76.67%,χ²=5.822,P=0.016)。结论在食管癌术后患者中,采取基于快速康复理念下的营养支持护理干预,可明显改善患者机体内营养指标与免疫功能,缩短患者术后恢复时间,减少住院期间并发症的发生,提升患者对护理的满意度。
- 快速康复理念 /
- 肠内营养支持 /
- 食管癌术后 /
- 应用效果
Abstract: Objective To observe the application of enteral nutrition support based on the concept of rapid rehabilitation in patients with esophageal cancer after operation. Methods A total of 60 patients with esophageal cancer were enrolled in our hospital(from January 2017 to September 2019). They were randomly divided into control group(30 cases) and experimental group(30 cases). Among them, patients in the control group received enteral nutrition support intervention under the concept of conventional nursing, while those in the experimental group received enteral nutrition support intervention based on the concept of rapid rehabilitation. Before and after the intervention, the nutritional index, immune function index, postoperative recovery, the incidence of complications and the satisfaction rate of patients with nursing intervention were compared between the two groups. Results The nutritional indexes of the two groups were significantly improved after intervention, and the level of nutritional indexes in the experimental group was significantly higher than that in the control group(all P<0.001). After the intervention, the level of immune response index in the two groups increased, and the level of immune response index in the experimental group was significantly higher than that in the control group(all P<0.001). The patients in the experimental group were less than those in the control group(all P<0.01). The incidence of complications in the experimental group was 6.67%, which was significantly lower than that in the control group(26.67%), χ²=4.320, P=0.038. The total satisfaction rate of the patients in the experimental group was 100.00%, significantly higher than that in the control group(76.67%), χ²=5.822, P=0.016. Conclusion Nutritional support nursing intervention based on the concept of rapid rehabilitation can significantly improve the nutritional index and immune function of patients, shorten the recovery time of patients, reduce the incidence of complications during hospitalization, and improve the satisfaction of patients with nursing.
- Concept of rapid rehabilitation /
- Enteral nutrition support /
- Postoperative esophageal cancer /
- Application effect