胃肠瘘患者普外手术后行肠外营养的临床效果分析  

Clinical Effect of Parenteral Nutrition in Patients with Gastrointestinal Fistula after General Surgery

作　　者：单祖建 SHAN Zu-jian(Department of General Surgery,People's Hospital of Xishuangbanna Prefecture,Xishuangbanna,Yunnan Province,661000,China)

机构地区：[1]云南省西双版纳州人民医院普外科,云南西双版纳661000

出　　处：《中外医疗》2020年第9期94-96,共3页China & Foreign Medical Treatment

摘　　要：目的分析胃肠瘘患者普外手术后行肠外营养的临床效果。方法便利选择该院的72例胃肠瘘行普外手术患者作为该次的观察对象,患者入院时间是2016年9月—2019年5月,随机将患者分成研究组和普通组,普通组患者术后给予常规护理,研究组则联合肠外营养进行护理,对比两组患者的护理满意度、并发症以及术后生活质量。结果研究组患者中有35例表示对护理较满意或非常满意度,满意度为97.22%,其数据高于普通组(χ2=5.062,P=0.024);研究组患者术后共发生3例并发症,并发症发生率为8.33%,其数据较普通组更低(χ2=4.600,P=0.032);研究组患者术后躯体健康评分为(85.2±3.8)分,心理健康评分为(78.5±4.2)分,社会功能评分为(80.7±4.1)分,情感功能评分为(83.2±4.8)分,各项数据高于普通组(t=10.860,P=0.000;t=8.792,P=0.000;t=6.574,P=0.000;t=8.902,P=0.000)。结论胃肠瘘患者普外手术后行肠外营养能够改善患者躯体状态,从而提高其生活质量,减少术后并发症风险,并让患者对护理更为满意,该护理措施具有较高的临床应用价值。Objective To analyze the clinical effect of parenteral nutrition in patients with gastrointestinal fistula after general surgery.Methods Seventy-two patients with gastrointestinal fistula undergoing general surgery in the hospital were selected as the observation objects.The admission time was September 2016 to May 2019.The patients were convenient randomly divided into the study group and the general group.The general group was given routine nursing after operation,while the study group was given nursing combined with parenteral nutrition,and the full nursing of the two groups was compared.Intention,complications and quality of life after operation.Results Among the study group,35 patients showed satisfactory or very satisfactory nursing,with a satisfaction rate of 97.22%.The data were higher than the normal group(χ2=5.062,P=0.024).There were 3 complications in the study group.The complication rate was 8.33%,and the data was lower than that of the normal group(χ2=4.600,P=0.032).The postoperative physical health score of the study group was(85.2±3.8)points,and the mental health score was(78.5±4.2)points,the social function score was(80.7±4.1)points,and the emotional function score was(83.2±4.8)points.The data were higher than the normal group(t=10.860,P=0.000;t=8.792,P=0.000;t=6.574,P=0.000;t=8.902,P=0.000).Conclusion Parenteral nutrition after general surgery for gastrointestinal fistula patients can improve their physical condition,improve their quality of life,reduce the risk of postoperative complications,and make patients more satisfied with nursing.This nursing measure has high clinical application value and is worth using.

关 键 词：胃肠瘘 普外手术 肠外营养 生活质量 并发症风险 

分 类 号：R4[医药卫生—临床医学]