食管癌患者术后的整合营养管理

孙云; 汤平; 王兰; 孙秀云

doi:10.7619/jcmp.20213919

食管癌患者术后的整合营养管理

江苏省苏北人民医院胸外科, 江苏扬州, 225001

基金项目:

江苏省苏北人民医院院级基金资助项目 YJJ202051

详细信息

通讯作者:
孙秀云, E-mail: sxyun77@163.com

中图分类号: R735.1;R151.4
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出版历程
- 收稿日期: 2021-09-29
- 网络出版日期: 2022-03-10
- 发布日期: 2022-02-14

Integrated nutrition management for esophageal cancer patients after operation

Department of Thoracic Surgery, Subei People's Hospital in Jiangsu Province, Yangzhou, Jiangsu, 225001

摘要

摘要:
目的探讨食管癌术后患者整合营养管理的应用效果。
方法选取食管癌手术患者100例，随机分为观察组和对照组，每组50例。对照组采用常规护理; 观察组在对照组的基础上采取建立营养管理档案、发放多元化健康宣教资料、建立微信平台等整合营养管理方法。比较2组患者饮食知识掌握程度、营养状态、吻合口狭窄发生率等。
结果观察组饮食知识掌握程度评分为(84.40±1.98)分，高于对照组的(70.60±2.66)分，差异有统计学意义(P < 0.01)。观察组能量、脂肪、碳水化合物摄入量低于对照组，蛋白质摄入量高于对照组，差异均有统计学意义(P < 0.01)。观察组患者术后1、3个月血清白蛋白、体质量指数高于对照组，术后3个月血红蛋白高于对照组，差异有统计学意义(P < 0.05)。观察组吻合口狭窄发生率为4.00%, 低于对照组的22.00%, 差异有统计学意义(P < 0.05)。
结论整合营养管理可改善食管癌患者术后营养状况，降低吻合口狭窄的发生率，提高患者生活质量。
- 食管癌 /
- 整合营养管理 /
- 营养状况 /
- 微信平台 /
- 白蛋白 /
- 吻合口狭窄
Abstract:
Objective To explore the application effect of integrated nutrition management for esophageal cancer patients after operation.
Methods A total of 100 patients with esophageal cancer surgery were selected and randomly divided into control group (n=50) and observation group (n=50). The control group was given routine nursing, while the observation group was given integrated nutritional management methods such as establishment of nutrition management files, assignment of diversified health education materials and establishment of a Wechat platform on the basis of the control group. The mastery of dietary knowledge, nutritional status and the incidence of anastomotic stenosis were compared between the two groups.
Results The score of mastery of dietary knowledge in the observation group was (84.40±1.98) points, which was significantly higher than (70.60±2.66) points in the control group (P < 0.01). The intake amount of energy, fat and carbohydrate in the observation group were significantly lower than those in the control group, while the intake amount of protein was significantly higher than that in the control group (P < 0.01). The serum albumin and body mass index at 1 month and 3 months after operation in the observation group were significantly higher than those in the control group, while the hemoglobin at 3 months after operation was significantly higher than that in the control group (P < 0.05). The incidence of anastomotic stenosis in the observation group was 4.00%, which was significantly lower than 22.00% in the control group (P < 0.05).
Conclusion Integrated nutrition management can improve the postoperative nutritional status of esophageal cancer patients after operation, reduce the incidence of anastomotic stenosis and improve the qualities of life of patients.
- esophageal cancer /
- integrated nutrition management /
- nutritional status /
- Wechat platform /
- albumin /
- anastomotic stenosis

HTML全文

表 1 2组患者术后1个月饮食知识掌握度比较(x±s) 分

组别	饮食原则	饮食内容	饮食方法	饮食注意事项	掌握度
观察组(n=50)	21.00±0.95^**	21.42±0.95^**	20.78±0.93^**	21.20±0.95^**	84.40±1.98^**
对照组(n=50)	17.60±1.11	17.44±0.97	18.00±1.34	17.56±1.09	70.60±2.66
与对照组比较, **P < 0.01。

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表 2 2组患者术后1个月单日膳食摄入量比较(x±s)

组别	能量/kcal	蛋白质/g	脂肪/g	碳水化合物/g
观察组(n=50)	1 720.38±32.60^**	67.24±2.19^**	51.56±1.76^**	238.98±3.69^**
对照组(n=50)	1 878.80±41.39	51.92±2.48	67.98±2.18	266.28±3.86
与对照组比较, **P < 0.01。

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表 3 2组患者血液营养指标及BMI比较(x±s)

指标	时点	观察组(n=50)	对照组(n=50)
血清白蛋白/(g/L)	术前	36.75±2.03	36.28±2.44
	术后1个月	41.13±1.08^*	40.39±1.13
	术后3个月	42.67±1.02^*	42.28±0.93
血红蛋白/(g/L)	术前	106.20±12.62	110.78±10.68
	术后1个月	121.84±9.31	117.48±10.68
	术后3个月	129.92±7.43^*	125.82±9.14
BMI/(kg/m²)	术前	23.97±3.04	23.67±2.82
	术后个1月	23.93±2.80^*	22.88±2.41
	术后3个月	24.64±2.69^*	23.58±2.58
BMI: 体质量指数。与对照组比较, *P < 0.05。

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表 4 2组患者吻合口狭窄发生率比较[n(%)]

组别	轻度狭窄	中度狭窄	重度狭窄	合计
观察组(n=50)	2(4.00)	0	0	2(4.00)^*
对照组(n=50)	6(12.00)	4(8.00)	1(2.00)	11(22.00)
与对照组比较, *P < 0.05。

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