结直肠癌手术患者基于预后营养指数评估的营养护理  

Application of Prognostic Nutritional Index in nutrition therapy for patients with colorectal cancer

作　　者：宁洁 舒玉珍[2] 林爱珍[1] 陈笑吟[1] 龚元祥 张丹凤 韩颖 孙光军[1] Ning Jie;Shu Yuzhen;Lin Aizhen;Chen Xiaoyin;Gong Yuanxiang;Zhang Danfeng;Han Ying;Sun Guangjun(Department of Anorectal Disease,Hubei Provincial Hospital of Traditional Chinese Medicine,Wuhan 430060,China)

机构地区：[1]湖北省中医院肛肠科,湖北武汉430060 [2]武汉市第一医院胃肠外科

出　　处：《护理学杂志》2021年第23期93-95,共3页Journal of Nursing Science

摘　　要：目的探讨结直肠癌患者基于预后营养指数的分级营养干预效果。方法按照时间顺序,将64例结直肠癌患者设为对照组,实施常规营养干预;56例结直肠癌患者设为观察组,实施基于预后营养指数评估的分级营养支持干预。结果两组术后营养状态分布情况比较,差异有统计学意义(P<0.05,P<0.01)。观察组术后首次排气、排便、进食固体食物及肠鸣音恢复正常时间显著短于对照组,术后肺部感染和切口感染率显著低于对照组(P<0.05,P<0.01)。结论基于预后营养指数的营养干预可有效改善患者营养情况,降低术后并发症发生率,促进术后康复。Objective To explore the effectiveness of applying nutritional intervention based on the Prognostic Nutritional Index assessment to patients with colorectal cancer.Methods In the prospective comparative design,the first batch of 64 patients with colo-rectal cancer were selected as the control group,who received routine nutrition intervention,and the second batch of 56 patients with colorectal cancer as the intervention group,who was given nutrition support intervention based on the Prognosis Nutrition Index assessment.Results There was significant difference in the distribution of postoperative nutritional status between the two groups(P<0.05,P<0.01).The time to first passage of flatus,and first bowel movement,the time to first bite of solid food and the time to return of bowel sounds in the intervention group were significantly shorter than those in the control group;the incidence rates of pulmonary infection and wound infection in the former group were significantly lower than those in the latter group(P<0.05,P<0.01).Conclusion Nutritional intervention based on the Prognostic Nutritional Index assessment can effectively improve nutritional status of patients,reduce postoperative complications and promote postoperative recovery.

关 键 词：结直肠癌 营养评估 预后营养指数 营养干预 术后康复 

分 类 号：R473.6[医药卫生—护理学] R151[医药卫生—临床医学]