早期肠内营养护理在食管癌围手术期快速康复治疗中的应用

发布时间：2018-03-18 12:03

本文选题：早期肠内营养　切入点：护理措施　出处：《成都医学院学报》2016年06期 　论文类型：期刊论文

【摘要】：目的探讨早期肠内营养(EEN)护理措施应用于食管癌围手术期快速康复治疗中对提高患者生活质量的应用情况。方法纳入遂宁市中心医院2013年1月至2014年12月食管癌患者64例作为研究对象,随机分为对照组和观察组各32例。对照组采用肠外营养(total parenteral nutrition,TPN)护理,观察组采用EEN护理,比较两组患者血清白蛋白水平、肠道功能恢复时间、肛门排气时间、拔管时间、住院时间、住院费用和生活质量。结果对照组和观察组术前和术后1d血清白蛋白差异无统计学意义(P0.05);术后3d和术后5d对照组血清白蛋白均低于观察组,差异有统计学意义(P0.05);对照组术后肠鸣音恢复时间、肛门排气时间和拔管时间均长于观察组,差异有统计学意义(P0.05);对照组住院时间长于观察组,住院费用高于观察组,差异有统计学意义(P0.05);对照组和观察组术前生活质量各项目差异无统计学意义(P0.05),术后1周对照组总身体状况评分、认知功能分数较观察组低,差异有统计学意义(P0.05);疲劳乏力、失眠、食欲下降、便秘、腹泻和经济困难分数较观察组高,差异有统计学意义(P0.05)。结论 EEN护理在快速康复外科理念指导下的食管癌围手术期对提高患者生活质量具有明显作用,能够改善患者实验指标,缩短住院时间和住院费用,值得临床推广实施。
[Abstract]:Objective to explore the application of early enteral nutrition (EEN) nursing measures to improve the quality of life of patients with esophageal cancer during the perioperative period of rapid rehabilitation. Methods the nursing measures were included in Suining Central Hospital from January 2013 to December 2014 for esophageal cancer. Sixty-four patients were included in the study. Two groups were randomly divided into two groups: the control group (n = 32) and the observation group (n = 32). The patients in the control group were treated with total parenteral nutrition, and the patients in the observation group were given EEN nursing. The serum albumin level, the recovery time of intestinal function, the time of anal exhaust and the time of extubation were compared between the two groups. Results there was no significant difference in serum albumin between the control group and the observation group before and 1 day after operation (P 0.05), but the serum albumin in the control group was lower than that in the observation group on the 3rd day and the 5th day after operation. The difference was statistically significant (P 0.05), the recovery time of bowel sound, anal exhaust time and extubation time in the control group were longer than those in the observation group (P 0.05), the hospitalization time in the control group was longer than that in the observation group, and the hospitalization cost in the control group was higher than that in the observation group. There was no significant difference in the quality of life between the control group and the observation group before operation (P 0.05). The scores of total body condition and cognitive function in the control group were lower than those in the observation group at 1 week after operation, and the difference was statistically significant (P 0.05). The scores of insomnia, loss of appetite, constipation, diarrhea and economic difficulties were significantly higher than those in the observation group (P 0.05). Conclusion EEN nursing in the perioperative period of esophageal cancer under the guidance of rapid rehabilitation surgery has a significant effect on improving the quality of life of the patients. It can improve patients' experimental index, shorten hospitalization time and hospitalization cost, so it is worth popularizing.
【作者单位】：遂宁市中心医院;
【分类号】：R473.73

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