早期肠内营养对胃癌合并糖尿病患者血糖、并发症的影响研究  

Study on the Effect of Early Enteral Nutrition on Blood Glucose and Complications in Patients with Gastric Cancer and Diabetes

作　　者：洪丽溶 林营 黄秀梅 HONG Lirong;LIN Ying;HUANG Xiumei(Department of Gastrointestinal Surgery,Fujian Provincial Hospital,Fuzhou,Fujian Province,350001 China)

机构地区：[1]福建省立医院胃肠外科,福建福州350001

出　　处：《糖尿病新世界》2021年第19期154-158,共5页Diabetes New World Magazine

摘　　要：目的分析探究胃癌合并糖尿病患者接受早期肠内营养对于患者血糖以及并发症所产生的影响。方法选择该院于2019年1月—2020年6月收治的78例胃癌合并糖尿病患者展开对照研究,选用随机数表法将78例患者均匀划分为两组,将其设定为对照组和观察组,对照组给予肠外营养支持,观察组落实早期肠内营养,分析对比两组患者营养支持效果,以患者胃肠道功能恢复情况、营养指标、并发症发生概率、血糖指标、免疫功能等指标数值作为具体观察指标。结果和对照组患者进行比较,观察组首次肛门排气时间、排便时间、肠鸣音恢复时间、住院治疗时间等指标数值远远较低,差异有统计学意义(P<0.05);对比分析对照组、观察组总胆红素、谷草转氨酶、血红蛋白、总蛋白、丙氨酸氨基转移酶等指标数值,差异有统计学意义(P<0.05);对照组、观察组并发症发生概率分别为20.51%、2.76%,差异有统计学意义(χ^(2)=4.522,P<0.05);干预前,对比两组患者空腹血糖、餐后2 h血糖以及糖化血红蛋白等指标数值,差异无统计学意义(P>0.05);干预后,和对照组进行比较,观察组血糖指标数值较低,差异有统计学意义(P<0.05)。结论胃癌合并糖尿病患者实施早期肠内营养支持可以有效控制血糖水平,对于营养状态以及免疫状态都具有理想的改善作用,不仅如此可规避并发症的发生概率,有利于促进患者肠道功能尽早恢复,在临床应用期间具有借鉴和推广价值。Objective To analyze and explore the effects of early enteral nutrition on blood glucose and complications of patients with gastric cancer and diabetes.Methods Selected 78 patients with gastric cancer and diabetes who were admitted to the hospital from January 2019 to June 2020 to conduct a controlled study.A random number table method was used to divide 78 patients into two groups evenly.They were set as the control group and the observation group.The control group was given parenteral nutrition support,and the observation group was given early enteral nutrition.The nutritional support effects of the two groups of patients were analyzed and compared,and the patient’s gastrointestinal function recovery,nutritional indicators,complication probability,blood glucose indicators,immune function and other indicators were used as specific observation indicators.Results Compared with patients in the control group,the observation group’s first anal exhaust time,defecation time,bowel sound recovery time,hospitalization time and other index values were far lower,the difference was statistically significant(P<0.05);comparative analysis of the control group and the observation group total bilirubin,aspartate aminotransferase,hemoglobin,total protein,alanine aminotransferase and other index values,the difference was statistically significant(P<0.05);the incidence of complications in the control group and the observation group were20.51% and 2.76%,respectively,the difference was statistically significant (χ^(2)=4.522,P<0.05);before intervention,the two groups of patients were compared with fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin and other index values,the difference was not statistically significant(P>0.05);after the intervention,compared with the control group,the blood glucose index value of the observation group was lower,the difference was statistically significant(P<0.05).Conclusion Early enteral nutritional support for patients with gastric cancer and diabetes can effectively

关 键 词：早期肠内营养 胃癌合并糖尿病 血糖 并发症 应用价值 

分 类 号：R47[医药卫生—护理学]