120例肝硬化肝癌切除术患者围手术期营养支持的护理体会  

Nursing experience of peri-operative nutrition support for liver cancer resection patients

作　　者：张珍[1] 王瑞兰[1] 白志芳[1] 韩湘华[1] 陶红伟[1] 

机构地区：[1]北京解放军第302医院肝胆外科一中心,100039

出　　处：《北京医学》2014年第11期970-972,共3页Beijing Medical Journal

摘　　要：目的探讨肝硬化肝癌切除术患者围手术期营养支持的方法,利用快速康复外科理念促进术后患者康复。方法将120例行肝硬化肝癌切除术患者随机分为A组和B组,A组患者按照一般护理给予术后营养支持,B组患者给予术前和术后营养评估及系统营养支持,比较两组患者的术后自理能力、住院时间、住院费用和并发症发生率。结果 B组患者术后自理能力较强、住院时间明显缩短,患者住院费用降低,其并发症发生较少,对护理服务满意度更高,与A组比较,差异均有统计学意义(P<0.05)。结论肝硬化肝癌患者围手术期给予营养支持,可以明显改善患者的生活质量、降低并发症、减少治疗费用。Objective To study the perioperative nutrition support after liver cancer resection in the presence of cirrhosis, and the method of using rapid rehabilitation surgery concept to promote postoperative recovery. Methods One hundred and twenty cases with liver cancer resection in the presence of cirrhosis were randomly divided into two groups. One is the control group, in which patients received the general care for patients with postoperative nutritional support. The other is the experimental group, in which patients were assessed with preoperative and postoperative nutrition status and nutritional support were initiated. The self-care ability, length of hospital stay, hospital expenses and the incidence of com-plications were compared in the two groups. Results The postoperative self-care ability of the experimental group was stronger, the length of time was significantly shortened, the patient hospitalization expense was reduced, the complications rate was less, the nursing service satisfaction was higher when compared with the control group, and the difference was sta-tistically significant （P〈0.05）. Conclusion Post-operative nutritional support enables nursed to timely identify problems in nursing work, timely improve the link quality, reduce the contradiction between nurses and patients, reduce medical dis-putes, continuously improve the quality of nursing service.

关 键 词：围手术期 营养支持 肝硬化肝癌 生活质量 

分 类 号：R473.73[医药卫生—护理学]