个性化肠内营养支持应用于喉癌术后患者的效果观察  

Effect of personalized enteral nutrition support in post-operative patients with laryngeal carcinoma

作　　者：谢小红[1] 吴兰笛[2] 王瑞娴[1] 周铨梅 

机构地区：[1]广州市第十二人民医院耳鼻咽喉头颈外科, 510620 [2]广州医科大学,510182

出　　处：《中华现代护理杂志》2014年第6期674-678,共5页Chinese Journal of Modern Nursing

摘　　要：目的：探讨个性化肠内营养支持在喉癌患者手术后的应用效果。方法选择2010年6月-2013年4月住院的62例喉癌手术患者作为营养 A 餐组，实施个性化肠内营养支持；2008年1月-2010年5月手术后使用商品营养制剂的42例喉癌患者作为营养B餐组，检测与记录两组患者术前、术后7 d和14 d的体质量、前白蛋白、清蛋白、总蛋白等指标，观察有无并发症发生，比较两组平均住院时间、营养相关费用、伤口拆线时间。结果营养A餐组术后各项营养相关指标比营养B餐组均有明显改善；平均住院时间、营养相关费用、伤口拆线时间比较，差异有统计学意义（ t 值分别为-12．900，-36．011，-13．762；P＜0．05）。结论个性化肠内营养支持是促进喉癌患者术后康复的重要手段之一，鼻饲自制的匀浆肠内营养液安全有效、经济简单、并发症少，更符合人的生理需要，值得临床推广应用。Objective To study the effect of personalized enteral nutrition support in patients with laryngeal carcinoma after operation .Methods From June 2010 to April 2013 , 62 cases of laryngeal cancer patients received individualized enteral nutrition support as A group , and others 42 cases of laryngeal carcinoma after operation received commodity nutrition from January 2008 to May 2010 as B group.Then, nutrition index such as weight, prealbumin, albumin, total protein and so on, and complications, average hospitalization days, nutrition related costs , and time of wound stitches out between the two groups were detected and recorded respectively before operation , 7 th day and 14 th day after operation .Results Nutritional indexes in A group were significantly improved than those in B group , as well as the average hospitalization days , nutrition related costs , stitches out of the wound time between A group and B group , and the difference was statistically significant （ t=-12.900,-36.011,-13.762,respectively;P＆lt;0.05）.Conclusions Personalized enteral nutrition support is one of the important means to promote the rehabilitation of postoperative patients with laryngeal carcinoma of nasal feeding homogenate , and self-made enteral nutrition is safe and effective , economic and simple , fewer complications , more in line with human physiological needs , and it is worthy of clinical application .

关 键 词：喉肿瘤 肠内营养支持 个性化 

分 类 号：R473.73[医药卫生—护理学]