渐进式康复运动联合营养支持对行保肛根治术的直肠癌患者术后营养状态和胃肠功能的干预效果  

Effect of progressive rehabilitation exercises combined with nutritional support on nutritional status and gastrointestinal function of patients after anus-preserving radical resection for rectal cancer

作　　者：杭凌 罗华敏 陈晓峰 HANG Ling;LUO Hua-min;CHEN Xiao-feng(Department of Gastrointestinal Surgery,Affiliated Hospital of Jiangnan University,Wuxi,Jiangsu,214122,China)

机构地区：[1]江南大学附属医院胃肠外科,江苏无锡214122

出　　处：《中西医结合护理（中英文）》2021年第4期45-48,共4页Journal of Clinical Nursing in Practice

基　　金：无锡市卫生健康委员会适宜技术项目(T202015)。

摘　　要：目的探讨渐进式康复运动联合营养支持对行保肛根治术的直肠癌患者术后营养状态和胃肠功能的干预效果。方法选取2019年1月至2020年10月于江南大学附属医院胃肠外科行保肛根治术治疗的92例直肠癌患者作为研究对象,随机分入对照组(n=46)和观察组(n=46)。对照组患者接受营养支持护理,观察组患者接受渐进式康复运动训练联合营养支持护理。比较两组患者在手术前和出院时的营养状态(转铁蛋白、血红蛋白、前白蛋白和白蛋白)和胃肠功能恢复时间。结果出院时,对照组的转铁蛋白、血红蛋白、前白蛋白和白蛋白水平较手术前均显著降低(P值均<0.05),观察组的转铁蛋白、血红蛋白、前白蛋白和白蛋白水平与手术前比较,差异均无统计学意义(P值均>0.05);观察组的转铁蛋白、血红蛋白、前白蛋白和白蛋白水平均显著高于对照组(P值均<0.05)。观察组的首次排气时间、肠鸣音恢复时间、首次进食流质食物时间、首次排便时间殊多者早于对照组(P值均<0.05),术后住院时间显著短于对照组(P<0.05)。结论渐进式康复运动训练联合营养支持护理能够有效改善行保肛根治术的直肠癌患者的术后营养状况,且显著缩短胃肠功能恢复时间。Objective To investigate the effect of progressive rehabilitation exercises combined with nutritional support on nutritional status and gastrointestinal function of patients after anus-preserving radical resection for rectal cancer.Methods A total of 92 patients who underwent anus-preserving radical resection for rectal cancer from January 2019 to October 2020 in the Department of Gastrointestinal Surgery at the Affiliated Hospital of Jiangnan University were selected as research subjects,and the patients were randomly divided into a control group(n=46)and an observation group(n=46).The control group was given nutritional support nursing,and the observation group was given progressive rehabilitation training combined with nutritional support nursing.The nutritional status(transferrin,hemoglobin,prealbumin and albumin)before surgery and at discharge and time of gastrointestinal function recovery were compared between the two groups.Results At discharge,the levels of transferrin,hemoglobin,prealbumin and albumin in the control group were significantly lower than those before surgery(all P<0.05).The differences at discharge and before surgery were not statistically significant in the levels of transferrin,hemoglobin,prealbumin and albumin in the observation group(all P>0.05).At discharge,the levels of transferrin,hemoglobin,prealbumin and albumin of the observation group were significantly higher than those of the control group(all P<0.05).The first exhaust time,time of bowel sound recovery,first liquid diet time,first defecation time and postoperative hospital stay in the observation group were significantly shorter than those in the control group(all P<0.05).Conclusion Progressive rehabilitation exercises combined with nutritional support nursing can effectively improve the postoperative nutritional status of rectal cancer patients undergoing anus-preserving radical resection,and significantly shorten the recovery time of gastrointestinal function.

关 键 词：直肠癌 保肛根治术 渐进式康复运动 营养支持 胃肠功能 

分 类 号：R473.73[医药卫生—护理学]