综合干预治疗在食管癌病人术后早期肠内营养耐受性及机体康复的研究

发布时间：2018-03-21 02:15

本文选题：综合干预治疗　切入点：早期肠内营养　出处：《肠外与肠内营养》2017年03期 　论文类型：期刊论文

【摘要】：目的:探讨综合干预方案在食管癌病人术后早期肠内营养(EEN)耐受性及机体康复中的应用效果。方法:将入选的93例病人按入院时间顺序分为综合干预组和传统对照组。综合干预组病人进行综合干预治疗,传统对照组病人给予常规护理,比较两组病人术后EN不耐受的发生率、首次闻及肠鸣音时间、首次排气和排便时间以及并发症等临床指标。结果:综合干预组47例病人中有36例(76.60%)能耐受EEN支持;传统对照组46例病人中有24例(52.17%)耐受EEN支持,两组比较差异有显著性统计学意义(P0.05)。综合干预组病人首次闻及肠鸣音时间、首次排气和排便时间、住院天数等均优于传统对照组(P0.01)。且综合干预组病人切口感染、肺部感染发生率均低于传统对照组(P0.05)。结论:采用综合干预方案治疗食管癌术后病人可有效降低EEN不耐受性的发生率,促进病人机体恢复,缩短住院时间,降低术后并发症,提高病人术后生活质量。
[Abstract]:Objective: to investigate the effect of comprehensive intervention in early postoperative enteral nutrition tolerance and rehabilitation of patients with esophageal cancer. Methods: 93 patients were divided into two groups according to the time of admission. The patients in the comprehensive intervention group were treated with comprehensive intervention. The patients in the traditional control group were given routine nursing care. The incidence of en intolerance, the time of first hearing and the time of bowel sound were compared between the two groups. Results: 36 out of 47 patients in the comprehensive intervention group were able to tolerate EEN support, while 24 out of 46 patients in the traditional control group were able to tolerate EEN support. There was significant difference between the two groups (P 0.05). The time of the first hearing and the sound of bowel sound, the time of first exhaust and defecation, the days of hospitalization in the comprehensive intervention group were better than those in the traditional control group (P 0.01), and the patients in the comprehensive intervention group were infected by incision. The incidence of pulmonary infection was lower than that of the traditional control group (P 0.05). Conclusion: comprehensive intervention can effectively reduce the incidence of EEN intolerance, promote the recovery of patients, shorten the hospital stay, and reduce postoperative complications. Improve the quality of life of patients after operation.
【作者单位】：南京医科大学附属肿瘤医院胸外科;南京医科大学护理学院;
【基金】：南京医科大学附属肿瘤医院护理重点基金项目(ZH201405);南京医科大学附属肿瘤医院院级课题(ZH201401)
【分类号】：R459.3;R735.1

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