静脉镇痛联合早期营养支持在原发性肝癌术后患者中的应用研究

Application of intravenous analgesia combined with early nutrition support in treatment of patients with primary liver cancer

目的研究静脉镇痛联合早期营养支持在原发性肝癌术后的应用效果。方法选择90例原发性肝癌患者按照随机数表法,分为观察组和对照组各45例,对照组应用常规的护理措施对患者实施干预,观察组在此基础上运用静脉镇痛联合早期营养支持对患者进行治疗及护理。术后对2组患者肠道功能恢复时间、营养指标、免疫指标变化状况及并发症状况进行记录分析。结果术后观察组患者的肠鸣音恢复时间、排气、排便及首次下床活动时间均显著短于对照组(P<0.05);2组患者的营养指标及肝功能指标均得到改善,且观察组患者优于对照组(P<0.05);2组患者的各项指标均得到改善,且观察组患者的改善状况显著优于对照组(P<0.05)。结论静脉镇痛联合早期营养支持可显著改善患者的免疫及营养状况。

Objective To explore the effect of intravenous analgesia combined with early nutritional support in treatment of patients with primary liver cancer. Methods A total of 90 primary liver cancer patients were randomly divided into the observation group and the control group,45 cases in each group. Patients in the control group were treated with routine nursing measures,and the observation group was treated with intravenous analgesia combined with early nutrition support. Changes of intestinal function recovery time,nutrition index,immune index and complications were recorded and analyzed in both groups. Results Bowel sounds recovery time,exhaust and defecation time and the first time of getting out of bed in the observation group were significantly shorter than those in the control group（ P〈0. 05）. The nutritional index and liver function index significantly improved in both groups,and these indexes in the observation group were significantly better than the control group（ P〈0. 05）. The indicators significantly improved in both groups,and the improvement of the observation group was significantly better than the control group（ P〈0. 05）. Conclusion Intravenous analgesia combined with early nutritional support can significantly improve the immune and nutritional status of patients.