开腹与腹腔镜手术对胃癌患者营养状况的影响分析

The Impact Analysis of Nutritional Status on the Gastric Cancer Patients Treated with Laparotomy and Laparoscopic Surgery

目的研究探讨开服和腹腔镜两种手术方式对胃癌患者营养状况的影响状况。方法方便选取2012年7月—2016年2月在该院接受治疗的250例胃癌患者为治疗对象,按照随机数字表将其均分为两组每组125例,对照组患者接受开腹治疗,治疗组患者接受腹腔镜治疗,观察记录所有患者治疗前后的生理指标数值、并发症情况、生活质量评分和营养状况合格率等四项指标。结果经对数据统计分析可知,治疗组患者的血清白蛋白和血清前白蛋白数据即(189.43±26.40)mg/L和(40.86±3.54)g/L明显高于对照组患者的数据即(176.18±20.37)mg/L和(34.69±2.57)g/L,其并发症数据明显优于对照组患者,其在术后的睡眠、精神、日常生活、疲乏水平的评分数据即(70.34±10.93)分、(66.72±11.94)分、(71.59±19.68)分和(65.82±15.97)分明显高于对照组患者的评分数据即(46.80±11.48)分、(43.65±12.75)分、(53.88±18.37)分和(43.67±16.43)分,其营养合格率即90.40%同样明显高于对照组即74.40%,上述数据间差异有统计学意义(P<0.05)。结论腹腔镜手术疗法相比开腹手术更能改善患者术后营养状况,降低不良反应发生率,具有较高的临床推广价值。

Objective To explore the influence condition of nutritional status on gastric cancer patients by means of laparotomy and laparoscopic surgery. Methods Convenient selection two hundred and fifty patients with gastric cancer who received treatment in our hospital from July 2012 to February 2016 were regarded as treatment objects, and they were evenly divided into two groups according random number table（125 patients in each group）. The control group were cured by laparotomy surgery and the treatment group were cured by laparoscopic surgery. We should observe and record all those patients＇ four indexes before and after treatment including physiological indexes, complications, the score of life quality and the qualification rate of nutritional status. Results Through statistical analysis of experimental data, the treatment group with the data of serum albumin and pre-albumin（189.43±26.40）mg/L and（40.86±3.54）g/L were higher than the data of control group（176.18±20.37）mg/L and（34.69±2.57）g/L obviously, and its complication data was much better than the control group,besides its rating data about sleep, spirit, daily life and fatigue level post operation（70.34 ±10.93）points,（66.72 ±11.94）points,（71.59±19.68）points and（65.82±15.97）points were higher than the data of control group（46.80±11.48）points,（43.65±12.75）points,（53.88±18.37）points and（43.67±16.43）points obviously, finally its nutritional pass rate were also higher than the pass rate of control group obviously（90.40% vs 74.40%）. The differences of all the corresponding data were significant（P〈0.05）. Conclusion Compared with the laparotomy surgery, the laparoscopic surgery could improve the nutritional status of patients post operation and reduce the incidence of adverse reactions, so it has clinical spread value.