基于快速康复外科的全程营养管理模式对食管癌术后并发症预防及营养状况的影响  

To Explore the Effect of Whole-course Nutrition Management Model Based on Fast Track Surgery on the Prevention of Postoperative Complications and Nutritional Status of Patients with Esophageal Cancer

作　　者：王姣姣 罗俊辉 何厚乐 WANG Jiao-jiao;LUO Jun-hui;HE Hou-le(Department of Cardiothoracic Surgery,The 989 Hospital of the Joint Service Support Force of the Chinese People's Liberation Army,Luoyang 471000,Henan province,China)

机构地区：[1]中国人民解放军联勤保障部队第九八九医院心胸外科,河南洛阳471000

出　　处：《罕少疾病杂志》2025年第4期170-172,共3页Journal of Rare and Uncommon Diseases

基　　金：河南省医学科技攻关计划项目(LHGJ20200072)。

摘　　要：目的探讨基于快速康复外科的全程营养管理模式对食管癌术后并发症预防及营养状况的影响。方法在2021年5月至2024年7月期间,共选取72例在中国人民解放军联勤保障部队第989医院接受治疗的食管癌术后患者。通过随机数字表法,这些患者被平分为两组,对照组和观察组,每组各包含36例。对照组接受常规营养干预,观察组接受基于快速康复外科的全程营养管理模式。记录两组围术期指标、营养状况、术后并发症。结果与对照组比较,观察组首次排气时间、首次排便时间、下床活动时间、住院时间均更短(P<0.05),BW、BMI、Hb、Alb水平均更高(P<0.05),观察组术后并发症发生率8.33%更低(P<0.05)。结论基于快速康复外科的全程营养管理模式能够显著改善食管癌术后患者的营养状况,并有效预防术后并发症的发生。Objective To explore the effect of the whole-course nutrition management model based on fast track surgery on the prevention of postoperative complications and nutritional status of patients with esophageal cancer.Methods From May 2021 to July 2024,a total of 72 postoperative patients with esophageal cancer who were treated in the 989th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army were selected.The patients were divided into two groups by random number table method,the control group and the observation group,with 36 cases in each group.The control group received routine nutritional intervention,and the observation group received the whole-course nutritional management model based on fast track surgery.The perioperative indicators,nutritional status and postoperative complications of the two groups were recorded.Results Compared with the control group,the observation group had shorter time to first exhaust,time to first defecation,time to get out of bed,and length of hospital stay(P<0.05),higher levels of BW,BMI,Hb and Alb(P<0.05),and a lower incidence of postoperative complications(8.33%)(P<0.05).Conclusion The whole-course nutrition management model based on fast track surgery can significantly improve the nutritional status of patients with esophageal cancer after surgery and effectively prevent the occurrence of postoperative complications.

关 键 词：食管癌 快速康复外科 全程营养管理模式 营养状况 

分 类 号：R735.1[医药卫生—肿瘤]