薯蓣粥对2型糖尿病合并结直肠癌术后患者切口愈合情况的影响  

Effect of Yam gruel on postoperative healing in patients with Type II diabetes complicated with colorectal cancer

作　　者：梁小琴[1] 庞书勤[3] 王珑[2] Liang Xiaoqin;Pang Shuqin;Wang Long(Department of Vascular and Tumour Intervention,Fujian Provincial Hospital;Department of Gastrointestinal Surgery,Fujian Provincial Hospital;School of Nursing,Fujian University of Traditional Chinese Medicine,Fuzhou,350001,China)

机构地区：[1]福建省立医院血管与肿瘤介入科 [2]福建省立医院胃肠外科 [3]福建中医药大学护理学院,福建福州350001

出　　处：《现代临床护理》2024年第1期21-27,共7页Modern Clinical Nursing

基　　金：福建省自然科学基金项目(面上),项目编号为2021J01953。

摘　　要：目的 探讨薯蓣粥对2型糖尿病合并结直肠癌患者术后切口愈合的影响,以便为促进切口愈合提供一种较好的饮食方案。方法 2020年12月—2021年12月采用便利抽样法,选择本省某三级甲等综合医院胃肠外科行腹腔镜下结直肠癌根治术后的2型糖尿病合并结直肠癌患者92例,采用IBMSPSS25.0软件随机分为对照组与试验组,各46例,对照组给予常规治疗与护理,试验组在对照组基础上,将怀山药制成薯蓣粥,于患者肛门排气后,在糖尿病早餐饮食中扣除薯蓣粥产生的热量84kcal同等食物后与剩余的早餐一起服用,时间为3w。比较干预后两组切口愈合时间、愈合等级、切口愈合不良发生率与干预前、干预后1w、3w患者血糖值变化情况。结果 试验组在干预3w时2例患者退出,共完成44例;对照组干预3w时1例失访,共完成45例。干预后试验组患者切口愈合时间短于对照组、愈合等级优于对照组、切口感染发生率低于对照组,两组比较,差异具有统计学意义(均P<0.05)。重复测量方差分析结果显示,两组患者空腹血糖、早餐后2h时间主效应、组间主效应均有统计学意义(均P<0.001),其中干预后1w、3w时试验组空腹血糖、早餐后2h血糖低于对照组(均P<0.01)。结论 薯蓣粥具有缩短切口愈合时间、改善切口愈合质量与调节血糖的作用。Objective To investigate the effect of Yam gruel on postoperative incision healing in patients with Type II diabetes and complicated with colorectal cancer,hence to provide a better diet plan for postoperative incision healing.Methods A convenience sampling method was used to select 92 patients with Type II diabetes who were complicated with colorectal cancer and underwent surgery of laparoscopic radical resection for colorectal cancer in a general hospital in Fujian province.IBM SPSS 25.0 software was used to randomly divide the patients into control group and trial group,with 46 patients per group.Conventional postoperative treatment and care was offered to the patients in control group,while patients in the trial group,after anal exhaust,consumed Yam gruel made from Chinese Yam along with the remaining breakfast after deducting an 84 kcal of energy produced by the gruel for 3 weeks.The two groups were compared in terms of the post-intervention healing time,healing grade,incidence of poor incision healing,and changes in blood glucose before intervention,at 1 week and 3 weeks post-intervention.Results Forty-four patients completed the trial in the trial group,with two left at the third week of intervention.A total of 45 patients completed the study in the control group,with one dropped out of the follow-up after 3 weeks of intervention.After intervention,the incision healing time in the trial group was significantly shorter than that of the control group(P<0.05).Additionally,the healing grade was better(P<0.05),and the incidence of incision infections was significantly lower than that of the control group(P<0.05).Repeated measures ANOVA revealed that there were statistically significances in both groups in either main effects on fasting blood glucose and blood glucose at 2 hours after breakfast(all P<0.001).Particularly,at Week 1 and Week 3 post-intervention,the trial group showed both lower fasting blood glucose and blood glucose at 2 hours after breakfast compared with those in the control group(both P<0.01).C

关 键 词：薯蓣粥 2型糖尿病 结直肠癌 切口 

分 类 号：R473.6[医药卫生—护理学]