口服肠内营养粉剂及综合干预促进胃癌术后康复的临床疗效  

Clinical efficacy of oral enteral nutrient powder and comprehensive intervention inaccelerating postoperative rehabilitation of patients with gastric cancer

作　　者：徐燕飞 王寿华 施伟斌[1] 王健东[1] Xu Yanfei;Wang Shouhua;Shi Weibin;Wang Jiandong(Department of General Surgery,Xinhua Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院普外科,上海200092

出　　处：《新医学》2022年第11期838-841,共4页Journal of New Medicine

摘　　要：目的探讨胃癌术后患者早期口服肠内营养粉剂(安素)并行综合干预后对患者康复的临床疗效。方法选取34例行胃癌根治性切除术后患者,采用随机数表法分为对照组和观察组(各17例),对照组患者行术后一般常规补液支持治疗并随访,观察组患者行口服安素及综合干预治疗(术后心理干预,术后饮食及鼻胃管、引流管管理,静脉液体输注管理,术后康复指导),比较2组患者的术后疗效。结果观察组较对照组术后10 d营养风险的发生率明显降低,观察组的肝功能白蛋白水平较对照组升高,术后患者腹痛、腹胀、腹泻发生率较对照组明显下降,伤口愈合时间较对照组缩短,住院天数较对照组缩短,综合干预后患者的满意度较对照组明显提高,差异均有统计学意义(P均<0.05)。结论胃癌患者术后早期口服肠内营养粉剂并行综合干预治疗后,可有效改善患者预后,缩短治疗时间,达到促进患者康复的目的。Objective To evaluate the clinical efficacy of early oral administration of enteral nutrient powder(Ansu)combined with comprehensive interventionsin accelerating postoperative recovery of patients with gastric cancer.Methods Thirtyfour gastric cancer patients undergoing radical resection were randomly selected and assigned into the control(n=17)and observation groups(n=17).Patients in the control group received routine fluid replacement and follow-up,and their counterparts in the observation group were given with oral intake of Ansu in combination with comprehensive interventions.Comprehensive interventions include postoperative psychological intervention,postoperative diet management,nasogastric tube and drainage tube management,intravenous fluid infusion management and postoperative rehabilitation guidance.Postoperative efficacy was statistically compared between two groups.Results Compared with the control group,the incidence of nutritional risk at postoperative 10 d was significantly lower,the liver function-associated albumin level was significantly higher,the incidence of postoperative abdominal pain,bloating and diarrhea was lower,the wound healing time was shorter,the length of hospital stay was shorter and the degree of satisfaction of patients was significantly improved in the observation group(all P<0.05).Conclusion Early postoperative oral administration of enteral nutrient powder combined with comprehensive interventions can effectively improve clinical prognosis,shorten treatment time,and achieve the purpose of accelerating postoperative recovery of patients with gastric cancer.

关 键 词：胃癌 肠内营养 营养素 加速康复 预后 

分 类 号：R735.2[医药卫生—肿瘤]