集束化管理对胃癌患者围术期中营养支持的影响

Effect of cluster management on perioperative nutritional support for patients with gastric cancer

目的探讨集束化管理对胃癌患者围术期中营养支持的影响。方法选取2019年1月至2020年1月就诊于中山大学附属第一医院胃肠外科中心的66例胃癌患者作为研究对象,按照随机数字法分为对照组(n=33)和试验组(n=33),通过比较两组患者的体质量指数、术后第7天的营养评分、白蛋白及前白蛋白等营养指标,以及术后首次排气排便时间、术后并发症、住院时间长短。结果试验组患者体质量指数、术后第7天营养评分、白蛋白及前蛋白等指标均高于对照组,差异有统计学意义(P<0.05)。试验组患者的术后首次排气排便时间早于对照组,差异有统计学意义(P<0.05)。试验组患者术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。试验组患者住院时间短于对照组患者,差异有统计学意义(P<0.05)。结论对围术期的胃癌患者进行集束化管理可显著的改善胃癌患者的营养状况,加速患者的术后康复,减少并发症,缩短住院时间。

Objective To explore the effect of cluster management on perioperative nutritional support for patients with gastric cancer.Methods From January 2019 to January 2020,66 patients with gastric cancer who went to the Gastrointestinal Surgery Center of the First Affiliated Hospital of Sun Yat-sen University were selected as the research objects and randomly divided into control group(n=33)and experimental group(n=33).The body mass index,nutritional score on the seventh day after operation,albumin and prealbumin and other nutritional indicators of the two groups were compared,as well as the first postoperative defecation time,postoperative complications and hospitalization.Results The indexes of body mass index,nutrition score on the seventh day after operation,albumin and preprotein in the experimental group were higher than those in the control group,and the difference was statistically significant(P<0.05).The first defecation time of the experimental group was earlier than that of the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the experimental group was significantly lower than that in the control group(P<0.05).The hospital stay of the experimental group was shorter than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Cluster management of perioperative gastric cancer patients can significantly improve the nutritional status of gastric cancer patients,accelerate postoperative rehabilitation,reduce complications and shorten hospital stay,which is worthy of clinical application.