护理干预在食管癌术后早期营养支持治疗中的应用  

Application of nursing intervention in early postoperative nutritional support treatment for esophageal cancer patients after surgery

作　　者：刘薇[1] 

机构地区：[1]四川省广元市第一人民医院

出　　处：《护理研究（下旬版）》2017年第2期683-686,共4页Chinese Nursing Researsh

基　　金：四川省广元市科技基金项目;编号:广科成果2014-14

摘　　要：[目的]探讨护理干预在食管癌术后早期营养支持治疗中的应用效果。[方法]将2014年5月—2015年5月行食管癌根治术的204例病人随机分为两组各102例,对照组术后常规禁食,给予肠外营养支持及相关护理;观察组早期行肠内外营养支持治疗及护理干预,术后第8天比较两组营养状态、免疫功能、胃肠功能恢复及并发症发生情况。[结果]术后第8天,观察组血清前清蛋白(33.24g/L±3.28g/L)、清蛋白(32.78g/L±4.14g/L)、血清免疫球蛋白IgA(2.52g/L±0.47g/L)、IgG(13.52g/L±1.44g/L)、IgM(1.72g/L±0.36g/L)高于对照组血清前清蛋白(30.45g/L±3.32g/L)、清蛋白(30.21g/L±3.21g/L)血清免疫球蛋白IgA(2.21g/L±0.40g/L)、IgG(12.46g/L±1.16g/L)、IgM(1.61g/L±0.28g/L),两组比较差异有统计学意义(P<0.05);观察组病人肠鸣音恢复时间(63.63h±6.37h)、肛门排气时间(68.74h±9.53h)、肛门排便时间(65.59h±8.75h),对照组肠鸣音恢复时间(84.37h±8.39h)、肛门排气时间(115.37h±12.52h)、肛门排便时间(114.69h±11.75h),两组比较差异有统计学意义(P<0.01);两组病人并发症发生率比较差异无统计学意义(P>0.05)。[结论]早期肠内外营养支持治疗联合护理干预能有效改善病人营养状态,提高免疫功能,促进胃肠道功能恢复,且不增加并发症发生率。Objective To probe into the application effect of nursing intervention for early nutritional support therapy of esophageal cancer patients after surgery. Methods： A total of 204 patients with esophageal cancer who underwent radical surgery from May 2014 to May 2015 were randomly divided into two groups, 102 cases in each. The patients in control group received the postoperative conventional fasting, parenteral nutrition support and related care. The patients in observation group were given early postoperative enteral and parenteral nutrition therapy and nursing intervention. On the eighth day after surgery,the nutritional status,immune function, gastrointestinal function recovery and complications were compared between both groups. Results： On the 8th day after operation, serum prealbumin（33. 24 g/L±3. 28 g/L） , albumin（32. 78 g/L±4. 14 g/L）,serum immunoglobulin IgA（2. 52 g/L±0. 47 g/L） ,IgG（13. 52 g/L±1. 44 g/L） and IgM（l. 72 g/L±0. 36 g/L） in observation group were higher than those in control group, serum prealbumin（30. 45 g/L±3. 32g /L） ,albumin（30. 21 g/L±3. 21g/L） , serum immunoglobulin IgA（2. 21 g/L±0. 28 g/L ） ,IgG（12. 46 g/L±1. 16 g/L） ,IgM（1. 61 g/L± 0. 28 g/L）. The difference between the two groups was statistically significant（P〈0 . 05）. The recovery time of bowel sounds（63. 63 h±6. 37 h） ,anal exhaust time（68. 74 h±9. 53 h） ,defecation time（65. 59 h±8. 75 h） of patients in observation group were better than those in control group, recovery time of bowel sounds（84. 37 h±8. 39 h）,anal exhaust time（115. 37 h±12. 52 h） ,anal exhaust time（114. 69 h± 11. 75 h）. The difference between the two groups was statistically significant（P〈0 . 01）. There was no statistically significant difference in the incidence of complications between the two groups（P〉0. 05）. Conclusions： Early enteral and parenteral nutrition therapy combined with nursing intervention can effectively improve th

关 键 词：食管癌 肠内营养 肠外营养 早期干预 营养支持 

分 类 号：R473.73[医药卫生—护理学]