摘要
目的研究早期肠内外营养支持护理对老年结直肠癌患者术后营养状况及康复情况的影响。方法选取2021年12月至2022年11月就诊于龙岩市第一医院消化内镜外科的80例老年结直肠患者作为研究对象,按照随机数字表法将患者分为观察组和对照组,各40例。对照组采用肠外营养支持,观察组则采用早期肠内外营养支持,比较两组患者的营养支持护理效果,包括营养指标[前白蛋白(PAB)、白蛋白(ALB)、转铁蛋白(TRF)和血清总蛋白(STP)]、体重、首次正常经口进食时间、首次自主排便时间、首次排气时间和首次无人辅助下床活动时间。结果观察组患者干预7 d后的PAB、ALB、TRF和STP水平均高于对照组,差异有统计学意义(P<0.05)。两组干预前的体重比较,差异无统计学意义(P>0.05),观察组干预4、7 d后的体重高于对照组,差异有统计学意义(P<0.05)。观察组干预后的首次正常经口进食、首次自主排便、首次排气和首次无人辅助下床活动时间均短于对照组,差异有统计学意义(P<0.05)。结论老年结直肠癌患者术后采用早期肠内外营养支持护理,对其营养水平的提高和身体康复的促进都具有显著效果,故此护理方法值得推广。
Objective To study the effect of early enteral and parenteral nutrition support nursing on the nutritional status and rehabilitation of elderly colorectal cancer patients after operation.Methods A total of 80 elderly colorectal patients admitted to the Department of Digestive Endoscopic Surgery,Longyan First Hospital from December 2021 to November 2022 were selected as the research objects.According to the random number table,the patients were divided into observation group and control group,with 40 cases in each group.Parenteral nutrition support was used in the control group,while early parenteral and intra parenteral nutrition support was used in the observation group.The effect of nutritional support nursing was compared between the two groups.These included nutritional indicators(prealbumin[PAB],albumin[ALB],transfertransferin[TRF],and total serum protein[STP]),body weight,first normal oral intake,first spontaneous defecation,first exhaust,and first unassisted movement out of bed.Results After 7 days of intervention,the levels of PAB,ALB,TRF and STP in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).There was no significant difference in body weight between the two groups before intervention(P>0.05),while the body weight of the observation group was higher than that of the control group after 4 and 7 days of intervention,and the differences were statistically significant(P<0.05).The time of first normal oral eating,first spontaneous defecation,first exhaust and first unassisted getting out of bed after intervention in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Early enteral and parenteral nutrition support nursing for elderly colorectal cancer patients after operation has significant effect on the improvement of their nutritional level and the promotion of their physical rehabilitation,so this nursing method is worth promoting.
作者
黄烨丽
HUANG Yeli(Department of Digestive Endoscopic Surgery,Longyan First Hospital,Fujian Province,Longyan364000,China)
出处
《中国当代医药》
CAS
2023年第25期194-196,F0003,共4页
China Modern Medicine
关键词
结直肠癌
早期肠内外营养护理
营养支持
老年患者康复
Colorectal cancer
Early enteral and parenteral nutrition nursing
Nutrition support
Rehabilitation of elderly patients
