老年胃底贲门癌患者术后早期肠内营养支持及护理干预

Postoperative early enteral nutrition support and nursing intervention for elderly patients with gastric fundus and cardia cancer

  • 摘要:
      目的  探讨早期肠内营养支持对老年胃底贲门癌患者术后生活的影响。
      方法  选取老年胃底贲门癌术后患者80例,行早期肠外营养支持40例为对照组,另选40例行早期肠内营养支持的老年胃底贲门癌术后患者为观察组。比较2组护理前后营养指标变化、术后恢复情况及并发症发生率。
      结果  观察组护理1周后血清白蛋白、血红蛋白、前清蛋白指标均显著高于对照组(P < 0.05); 观察组术后排便时间、肛门排气时间、住院时间均显著短于对照组(P < 0.05); 观察组恶心呕吐、腹胀腹泻、肺部感染、切口感染发生率均显著低于对照组(P < 0.05), 吻合口瘘发生率与对照组相比无显著差异(P>0.05)。
      结论  早期肠内营养支持干预应用于老年胃底贲门癌术后患者可有效改善其营养状态,加快术后恢复,降低并发症发生率。

     

    Abstract:
      Objective  To explore the effect of early enteral nutrition support on postoperative life of elderly patients with gastric fundus and cardia cancer.
      Methods  Eighty patients with postoperative elderly patients with gastric fundus and cardia cancer supported by early parenteral nutrition were enrolled in our hospital. Forty patients given early parenteral nutrition support were selected as control group, and 40 patients with early enteral nutrition support were as observation group. Changes of postoperative nutritional indicators, postoperative recovery and complication rate were compared before and after treatment.
      Results  The indexes such as serum albumin, hemoglobin and prealbumin in the observation group after one week of nursing were higher than those in the control group (P < 0.05). The defecation time, anal exhaust time and hospital stay in the observation group were shorter than that in the control group (P < 0.05). The incidences of nausea, vomiting, abdominal distension and diarrhea, lung infection and incision infection in the observation group were all lower than those in the control group (P < 0.05). The incidence of fistula showed no significant difference compared with the control group (P>0.05).
      Conclusion  Early enteral nutrition support intervention for elderly patients with gastric fundus and cardia cancer can effectively improve their nutritional status, speed up postoperative recovery, and reduce the incidence of complications.

     

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