中药治疗结合营养干预对结肠癌患者围手术期营养状态的影响  

Effects of Chinese herbal medication combined with nutrition intervention on perioperative nutrition in patients with colon carcinoma

作　　者：钱雪梅[1] 胡德红[1] 钟美华[1] 喻清和[1] 梁玉玲[2] 

机构地区：[1]广州医学院第一附属医院外科,广东广州510120 [2]广东省气象局医务室,广东广州510080

出　　处：《现代临床护理》2013年第3期27-30,共4页Modern Clinical Nursing

基　　金：2011年广东省社会发展领域科技计划项目;项目编号为粤科社[2011]106号

摘　　要：目的探讨中药治疗结合营养干预对结肠癌患者围手术期营养状态的影响。方法选择结肠癌患者96例,按住院号的单、双号,将患者分为干预组与对照组,每组各48例。对照组给予常规营养干预,干预组在此基础上,给予补中益气汤加减。采用简易营养评价量表(mini-nutrition assessment,MNA)评价两组患者手术前后营养指标的变化及术后并发症的发生情况。结果手术后,除血红蛋白外,干预组患者各项营养指标均优于对照组患者;营养不良发生率和并发症发生率低于对照组患者,两组比较,均P<0.05,差异具有统计学意义。结论中药治疗结合营养干预能有效地改善结肠癌患者的营养不良状况,减少术后并发症的发生。Objective To investigate the effects of Chinese herbal medication combined with nutrition intervention on perioperative nutrition in patients with colon carcinoma. Methods Ninety-six patients with colon carcinoma were divided according to their odd or even number into the control group and the intervention group. The former were given routine nutrition and the latter Chinese herbal medication combined with nutrition intervention. Then the mini-nutritional assessment （MNA） was used to assess the changes before and after operation and the complications. Results The intervention group was significantly better than the control one in terms of all nutrition factors but hematoglobin（P 〈 0.05）. The incidences of complication and dystrophy in the intervention group were lower than in control group （P 〈 0.05）. Conclusion The application of Chinese herbal medication combined with nursing intervention is important for the improvement of their nutrition and the reduction of postoperative complications.

关 键 词：结肠癌 围手术期 营养状态 饮食营养 中药 

分 类 号：R248[医药卫生—中医临床基础]