术后早期经口进食在食管癌微创手术患者中的应用效果  

Application effects of early postoperative oral feeding in patients with minimally invasive surgery for esophageal cancer

作　　者：林晓霞 陈丽君 卓龙彩 LIN Xiaoxia;CHEN Lijun;ZHUO Longcai(73^(rd)Group Military Hospital of Chinese People’s Liberation Army,Xiamen 361003 Fujian,China)

机构地区：[1]解放军陆军第七十三集团军医院,福建厦门361003

出　　处：《中国民康医学》2023年第17期176-178,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察术后早期经口进食在食管癌微创手术患者中的应用效果。方法:回顾性分析2020年6月至2022年6月该院收治的62例食管癌患者的临床资料,按照术后进食方法不同将其分为对照组32例和观察组30例。对照组采用常规进食,观察组采用早期经口进食,比较两组护理前后胃肠激素指标水平、胃肠功能恢复时间、住院时间、腹胀发生率、营养不良发生率和并发症发生率。结果:护理5 d后,观察组胃泌素、胃动素水平均高于护理前,且高于对照组,差异有统计学意义(P<0.05);观察组术后首次排气时间、术后首次排便时间、住院时间均短于对照组,腹胀发生率和营养不良发生率低于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:术后早期经口进食应用于食管癌微创手术患者可提高胃肠激素指标水平,缩短胃肠功能恢复时间和住院时间,降低营养不良发生率,其效果优于常规进食。Objective:To observe application effects of early postoperative oral feeding in patients with minimally invasive surgery for esophageal cancer.Methods:The clinical data of 62 patients with esophageal cancer admitted to this hospital from June 2020 to June 2022 were retrospectively analyzed.According to different postoperative feeding methods,they were divided into control group(32 cases)and study group(30 cases).The control group was given routine feeding,while the observation group was given early oral feeding.The levels of gastrointestinal hormone indexes,the gastrointestinal function recovery time,the hospitalization time,the incidence of abdominal distension,the incidence of malnutrition,and the incidence of complications were compared between the two groups before and after the nursing.Results:After 5 days of nursing,the levels of gastrin and motilin in the observation group were higher than those before the nursing,control group,and the differences were statistically significant(P<0.05).The first exhaust time,the first defecation time and the hospitalization time in the observation group were shorter than those in the control group,the incidence of abdominal distension and malnutrition was lower than that in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:Early oral feeding after minimally invasive surgery for esophageal cancer can improve the levels of gastrointestinal hormones,shorten the gastrointestinal function recovery time and the hospitalization time,and reduce the incidence of malnutrition.Moreover,it is superior to routine feeding nursing.

关 键 词：早期经口进食 食管癌 手术 胃肠功能 营养不良 并发症 

分 类 号：R735.1[医药卫生—肿瘤]