基于快速康复外科理念的营养支持在围手术期妇科恶性肿瘤患者中的应用  

Application of nutritional support based on the concept of enhanced recovery after surgery in perioperative patients with gynecological malignant tumor

作　　者：尤敏佳 陈妍 王敏 YOU Minjia;CHEN Yan;WANG Min(Taicang First People's Hospital,Suzhou,Jiangsu,215400,China)

机构地区：[1]江苏省太仓市第一人民医院,江苏苏州215400

出　　处：《中西医结合护理(中英文)》2025年第2期65-68,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨妇科恶性肿瘤患者在围手术期应用基于快速康复外科(ERAS)理念的营养支持的干预效果。方法选取2021年1~12月江苏省太仓市第一人民医院收治的100例妇科恶性肿瘤患者作为研究对象,根据入院先后顺序将其分入对照组(2021年1~6月,施以常规饮食干预)和观察组(2021年7~12月,施以基于ERAS理念的营养支持),各组均为50例。比较2组患者的营养指标、营养知识知晓率以及并发症发生情况。结果术前1 d与术后6 d,观察组的身体质量指数(BMI)以及白蛋白(ALB)、前白蛋白(PA)、转铁蛋白(TRF)水平均高于对照组(P均<0.05)。观察组患者的并发症总发生率低于对照组,营养知识总知晓率高于对照组(P均<0.05)。结论在妇科恶性肿瘤患者围手术期施以基于ERAS理念的营养支持干预,能够改善患者的营养指标,提高其营养知识知晓率,降低并发症发生率。Objective To explore the intervention effect of nutritional support based on the concept of enhanced recovery after surgery(ERAS)for patients with gynecological malignant tumor in perioperative period.Methods One hundred gynecological malignant tumor patients admitted to Taicang First People's Hospital from January to December 2021 were included in the study.They were divided into two groups in accordance with the order of admission:a control group,which received routine diet intervention from January to June 2021,and an observation group,which received nutritional support based on the ERAS concept from July to December 2021.Both groups contained 50 patients.The nutritional indicators,awareness rate of nutritional knowledge,and incidence of complications were compared between the two groups.Results The body mass index(BMI),albumin(ALB),prealbumin(PA),and transferrin(TRF)levels in the observation group were higher than those in the control group at 1 day before surgery and 6 days after surgery(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the total awareness rate of nutritional knowledge was higher than that in the control group(P<0.05).Conclusion Nutritional support intervention based on the ERAS concept in perioperative nursing of patients with gynecological malignant tumor can improve their nutritional indicators,increase their awareness of nutritional knowledge,and reduce the incidence of complications.

关 键 词：妇科恶性肿瘤 快速康复外科理念 营养支持 营养指标 并发症 

分 类 号：R473.73[医药卫生—护理学]