早期行肠内营养结合快速康复对胃癌术后胃肠功能恢复的效果观察

Effect of early enteral nutrition combined with rapid rehabilitation on recovery of gastrointestinal function after gastric cancer operation

目的研究早期行肠内营养结合快速康复对胃癌术后胃肠功能恢复的效果。方法选取2017年1月~2018年5月在该院接受手术治疗的104例胃癌患者作为研究对象。参照随机数表法分成对照组和研究组,各52例。对照组患者接受常规营养干预及康复管理,研究组患者术后接受早期肠内营养干预及快速康复护理。对比两组患者术后胃肠功能恢复效果及术后住院时间、营养水平、并发症发生率。结果研究组患者术后肛门排气恢复时间、排便恢复时间、肠鸣音恢复时间、住院时间均低于对照组,差异有统计学意义(均P<0.05);术后7 d两组患者的血清Hb、TP、ALB水平均高于术后1 d,且研究组高于对照组,差异有统计学意义(均P<0.05);研究组术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论早期行肠内营养结合快速康复管理能促进胃癌患者术后胃肠功能恢复,缩短术后住院时间,提高机体营养水平,减少术后并发症的发生,值得临床推广。

Objective To study the effect of early enteral nutrition combined with rapid rehabilitation on the recovery of gastrointestinal function after gastric cancer operation. Methods A total of 104 gastric cancer patients who received surgical treatment in the hospital from January 2017 to May 2018 were selected as research objects.According to the random number table method, they were divided into the control group and the research group, 52 cases of each group.Patients in the control group received routine nutritional intervention and rehabilitation management, while patients in the research group received early enteral nutritional intervention and rapid rehabilitation nursing after surgery.The postoperative gastrointestinal function recovery effect, postoperative hospitalization time, nutrition level and complication rate were compared between the two groups. Results The recovery time of anus exhaust, defecation, bowel sound and hospital stay in the research group were all lower than those in the control group, and the differences were statistically significant(P<0.05). Serum Hb, TP and ALB levels of the two groups were higher than those of the control group, on the 7th day after the operation.The research group was higher than the control group, and the difference was statistically significant(P<0.05). The total incidence of postoperative complications in the research group was lower than that in the control group, and the difference was statistically significant(P<0.05). Conclusion Early enteral nutrition combined with rapid rehabilitation management can promote the postoperative gastrointestinal function recovery of gastric cancer patients, shorten the postoperative hospitalization time, improve the nutritional level of the body, and reduce the occurrence of postoperative complications, which is worthy of clinical promotion.