分阶段动态营养支持结合吞咽康复训练对舌癌术后患者营养状态及生活质量的影响  

Impact of stage-based dynamic nutritional support combined with swallowing training on the nutritional status and quality of life of postoperative patients with tongue cancer

作　　者：叶盈希 吕永利 吴汉江[2] 龚朝建[2] 吴坤[2] 陈妍蓉[2] Ye Yingxi;Lü Yongli;Wu Hanjiang;Gong Chaojian;Wu Kun;Chen Yanrong(Clinical Nursing Teaching and Research Office,The Second Xiangya Hospital,Central South University,Changsha 410011,China)

机构地区：[1]中南大学湘雅二医院临床护理教研室,湖南长沙410011 [2]中南大学湘雅二医院口腔医学中心,湖南长沙410011 [3]华中科技大学同济医学院附属协和医院护理部 [4]华中科技大学协和京山医院

出　　处：《护理学杂志》2025年第6期109-113,共5页Journal of Nursing Science

基　　金：中南大学湘雅二医院护理科研基金项目(2021-HLKY-35);湖北省自然科学基金项目(2024AFB916);华中科技大学同济医学院附属协和医院京山课题(2023-XHJS-011)。

摘　　要：目的 探讨分阶段动态营养支持结合吞咽康复训练对舌癌患者术后早期营养状况及生活质量的影响。方法 将110例接受游离皮瓣移植手术的舌癌患者按照入院时间分为对照组和试验组各55例。对照组给予常规护理,试验组在此基础上实施分阶段动态营养支持结合吞咽康复训练。比较干预不同时间两组患者血清营养指标、生活质量、吞咽功能、住院时间及并发症发生率。结果 术后第7天,试验组患者血清前白蛋白、白蛋白、血红蛋白水平显著优于对照组(均P<0.05);术后第7天和术后1个月,试验组吞咽功能与生活质量评分显著优于对照组(均P<0.05);试验组住院时间显著短于对照组(P<0.05)。结论 分阶段动态营养支持结合吞咽康复训练可改善舌癌患者术后营养状况,提升生活质量,缩短住院时间。Objective To investigate the impact of stage-based dynamic nutritional support combined with swallowing training on nutritional status and quality of life of patients with tongue cancer at early postoperative period.Methods A total of 110 patients undergoing free flap transplantation for tongue cancer were divided into two groups chronologically,with 55 cases in each.The control group was given standard care,while the experimental group additionally received stage-based nutritional support combined with swallowing training.The serum indicators related to nutritional status,quality of life,swallowing function,length of hospital stay,and incidence of complications were compared between the two groups at different time points.Results On postoperative day 7,serum prealbumin,albumin,and hemoglobin levels were significantly higher in the experimental group compared to the control group(all P<0.05).On postoperative day 7 and at 1 month after surgery,swallowing function and quality of life scores in the experimental group were significantly better compared to the control group(all P<0.05).The length of hospital stay was significantly shorter in the experimental group than that in the control group(P<0.05).Conclusion Stage-based dynamic nutritional support in combination with swallowing training can improve nutritional status and quality of life of patients with tongue cancer,as well as shorten hospital stay.

关 键 词：舌癌 游离皮瓣移植手术 营养支持 吞咽康复训练 生活质量 吞咽功能 营养护理 

分 类 号：R473.78[医药卫生—护理学]