营养干预对减体重手术患者术后恢复的影响  

作　　者：卞红艳 陈肖敏[2] 冯霞[2] 吴瑶娟[2] 

机构地区：[1]浙江中医药大学,310053 [2]浙江省人民医院,杭州医学院附属人民医院,310014

出　　处：《浙江临床医学》2020年第8期1173-1175,共3页Zhejiang Clinical Medical Journal

摘　　要：目的研究营养干预对减体重手术患者术后恢复的影响.方法选取浙江省人民医院减体重中心2016年8月至2018年8月收治的肥胖症患者67例,依据护理干预方式的不同将患者分为实验组(34例)和对照组(33例).对照组给予常规护理,实验组在常规护理的基础上给予营养干预6个月.比较两组患者术后即刻和术后6个月的体重、体质量指数(BMI)变化,并比较两组患者的术后胃肠功能恢复时间、并发症发生情况.结果术后即刻,两组患者的BMI及体重差异无统计学意义(P>0.05);术后6个月,两组患者的BMI及体重均明显降低,且实验组BMI及体重显著低于对照组,差异具有统计学意义(P<0.05).实验组患者的肠鸣音恢复时间、排气恢复时间、排便恢复时间、住院时间及术后并发症发生率显著低于对照组患者,差异具有统计学意义(P<0.05).结论给予实施减体重手术的肥胖症患者科学合理的个体化营养干预,有利于降低患者的BMI,促进患者术后胃肠功能恢复,并减少术后并发症的发生,促进患者康复.Objective To study the effect of nutritional intervention on postoperative recovery of patients undergoing bariatric surgery.Methods 67 obese patients admitted to the weight reduction center of Zhejiang Provincial People's Hospital from August 2016 to August 2018 were selected.Ail patients underwent weight reduction surgery in our hospital.The postoperative patients were divided into experimental group(34 cases)and control group(33 cases)according to the different postoperative interventions.Patients in the control group were given routine postoperative care,while patients in the experimental group were given nutritional intervention on the basis of routine care.The body mass index,body weight,recovery time of gastrointestinal function and incidence of postoperative complications of the two groups were compared.Results There was no significant difference in body weight index(BMI)and body weight between the two groups(P>0.05)immediately after surgery.The BMI and body weight of the patients in the experimental group were significantly lower than those in the control group(P<0.05)after 6-month nutritional intervention.The recovery time of borborygnius,gas passage and defecation,hospitalization time and incidence of postoperative coniphcations of the patients in the experimental group were significantly lower than those in the control group(P<0.05).Conclusion Nutritional intervention can reduce the body mass index and the occurrence of postoperative complications,and promote the recovery of gastrointestinal function in obese patients undergoing bariatric surgery.

关 键 词：肥胖 减体重手术 营养干预 胃肠功能 

分 类 号：R47[医药卫生—护理学]