食管癌患者术后的整合营养管理

Integrated nutrition management foResophageal canceRpatients afteRoperation

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。

Objective To explore the application effect of integrated nutrition management foResophageal canceRpatients afteRoperation.Methods A total of 100 patients with esophageal canceRsurgery 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 higheRthan(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 loweRthan those in the control group,while the intake amount of protein was significantly higheRthan that in the control group(P<0.01).The serum albumin and body mass index at 1 month and 3 months afteRoperation in the observation group were significantly higheRthan those in the control group,while the hemoglobin at 3 months afteRoperation was significantly higheRthan that in the control group(P<0.05).The incidence of anastomotic stenosis in the observation group was 4.00%,which was significantly loweRthan 22.00%in the control group(P<0.05).Conclusion Integrated nutrition management can improve the postoperative nutritional status of esophageal canceRpatients afteRoperation,reduce the incidence of anastomotic stenosis and improve the qualities of life of patients.