口服营养改良肠道准备法联合术后早期口服营养在结直肠癌加速康复中的应用  

Clinical Study on Enhanced Enteral Nutrition in Patients with Colorectal Cancer Surgery

作　　者：夷凤梅 杨慧 余文韬 刘超 

机构地区：[1]四川省肿瘤医院研究所·四川省癌症防治中心·电子科技大学医学院胃肠外科中心,成都610041 [2]四川省肿瘤医院研究所·四川省癌症防治中心·电子科技大学医学院临床药学部,成都610041

出　　处：《当代护士（下旬刊）》2020年第4期1-3,共3页Modern Nurse

基　　金：2018年四川省科技厅社会发展重点研发项目,课题名称“加速康复外科在结直肠癌围手术期的应用及经济学评价”,课题编号:2018SZ0268。

摘　　要：目的探讨口服营养改良肠道准备法联合术后早期口服营养在结直肠癌快速康复中的安全性与应用效果。方法将94例行腹腔镜结直肠癌根治手术的患者随机分为试验组和对照组,试验组采用口服营养改良肠道准备联合术后早期口服营养,对照组采用传统肠道准备联合肛门排气后口服营养,比较两组患者术前肠道准备不良反应率、术后首次肛门排气、排便时间和术后并发症、营养和疲乏等情况。结果两组患者术前肠道准备不良反应发生例次差异无统计学意义,试验组首次排气、排便时间均早于对照组(P<0.05),术后并发症的发生率两组无统计学差异。术后7 d试验组血红蛋白(Hb)、前清蛋白(PA)水平高于对照组(P<0.05)。试验组术后3天和7天的疲乏总得分低于对照组(P<0.05)。结论口服营养改良肠道准备法联合术后早期口服营养,不增加肠道准备不良反应的发生率和术后并发症发生率,可促进术后排气排便,改善术后营养水平和疲乏状况,有利于促进腹腔镜结直肠癌根治手术患者的快速康复,值得临床推广应用。Objective To study the safety and effect of enhanced enteral nutrition in preoperative bowel preparation and postoperative early enteral nutritional support within 12 h after operation for patients with colorectal cancer.Methods 94 patients who received operation of colorectal cancer patients were randomly divided into experimental group and control group.The intestinal preparation,the recovery of gastrointestinal function and the incidence of postoperative complications and nutritional status and cancer-related fatigue were compared.Results There were no significance in the incidence of preoperative and postoperative complications between test group and control group.The recovery of gastrointestinal function and nutritional status and cancer-related fatigue in test group were better than control group.Conclusion Enteral nutrition therapy is safe and effective in patients with colorectal cancer undergoing elective operation,and accelerate the postoperative intestinal function recovery,improve the nutritional status and cancer-related fatigue.

关 键 词：加速康复外科 口服营养 肠道准备 结直肠癌 疲乏 

分 类 号：R473.74[医药卫生—护理学]