胃癌根治术后腹部按摩联合微生态肠内营养支持对胃肠功能的影响  

Effect of abdominal massage combined with microecological enteral nutrition support on gastrointestinal function after radical gastrectomy for gastric cancer

作　　者：符萍 陈流芳[2] 陈琴 Fu Ping;Chen Liufang;Chen Qin(General Oncology Surgery,Wenchang People’s Hospital,Hainan Wenchang 571300,China)

机构地区：[1]文昌市人民医院普通肿瘤外科,571300 [2]文昌市人民医院大外科,571300

出　　处：《中华保健医学杂志》2022年第4期295-298,共4页Chinese Journal of Health Care and Medicine

基　　金：海南省重点研发计划(ZDYF2019189)。

摘　　要：目的研究胃癌根治术后腹部按摩联合微生态肠内营养支持对胃肠功能的影响。方法选取2019年9月~2021年9月收治的110例于文昌市人民医院行全胃切除术患者110例,抽签随机分为观察组与对照组,各55例。两组均行胃癌根治术,对照组术后给予微生态肠内营养支持,观察组在对照组基础上于术后开始化疗的第1天行腹部按摩,两组均连续干预1个月。比较两组胃肠功能恢复情况(首次排气时间、首次排便时间、肠蠕动恢复时间)及并发症发生率,比较两组术前及干预后1个月后营养状态[血浆总蛋白(TP)、血清白蛋白(ALB)、血红蛋白(HGB)、血清前白蛋白(PAB)]及生活质量评分(躯体功能、心理功能、社会功能、共性症状及副作用)。结果两组干预前TP、ALB、HGB、PAB水平比较差异无统计学意义(P>0.05),两组干预后与干预前比较TP、ALB、HGB、PAB水平均显著升高,且观察组显著高于对照组,差异有统计学意义(P<0.05);观察组干预后首次排气时间、首次排便时间、肠蠕动恢复时间显著短于对照组干预后,差异有统计学意义(P<0.05);两组干预前躯体功能、心理功能、社会功能、共性症状评分比较差异无统计学意义(P>0.05);两组干预后与干预前比较躯体功能、心理功能、社会功能、共性症状评分显著升高,且观察组显著高于对照组,差异有统计学意义(P<0.05);观察组患者并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论胃癌根治术后腹部按摩联合微生态肠内营养支持可有效改善胃肠功能,促进患者恢复,应用价值显著。Objective To study the effect of abdominal massage combined with micro-ecological enteral nutrition support on gastrointestinal function after radical gastrectomy for gastric cancer.Methods A total of 110 patients admitted to our hospital from September 2019 to September 2021 who underwent total gastrectomy were included in the study and randomly divided into observation group and control group,with 55 cases in each group.Both groups received radical gastrectomy for gastric cancer,the control group was given microecological enteral nutrition support after surgery,and the observation group received abdominal massage on the first day of chemotherapy on the basis of the control group,and the intervention lasted for 1 month in both groups.Gastrointestinal function recovery(first exhaust time,first defecation time,intestinal peristalsis recovery time)and the incidence of complications were compared between the two groups.Nutritional status[plasma total protein(TP),serum albumin(ALB),hemoglobin(HGB),serum prealbumin(PAB)]and quality of life score(physical function,psychological function,social function,common symptoms and side effects)were compared between the two groups before surgery and 1 month after intervention.Results There was no significant difference in TP,ALB,HGB and PAB levels between the two groups before intervention(P>0.05).The levels of TP,ALB,HGB and PAB in both groups were significantly increased after intervention compared with before intervention,and the differences were statistically significant(P<0.05).The levels of TP,ALB,HGB and PAB in observation group were significantly higher than those in control group after intervention,and the differences were statistically significant(P<0.05).The first exhaust time,first defecation time and peristalsis recovery time in the observation group were significantly shorter than those in the control group after intervention,and the differences were statistically significant(P<0.05).There were no significant differences in the scores of physical function,psycholog

关 键 词：胃癌根治术 胃癌 微生态肠内营养支持 腹部按摩 胃肠功能 

分 类 号：R57[医药卫生—消化系统]