留置鼻胃管营养干预对口腔癌术后调强放疗患者的影响

Effect of indignant nasogastric tube nutritional intervention on intensity modulated radiotherapy after oral cancer operation

目的 探讨留置鼻胃管营养干预对口腔癌术后调强放疗患者免疫功能、营养状态及生活质量的影响。方法 选取2019年2月—2021年2月医院的107例口腔癌术后调强放疗患者作为研究对象,按照组间基本特征匹配原则分为对照组49例与观察组58例。对照组给予常规护理方法,观察组在对照组基础上实施留置鼻胃管营养干预,观察并比较两组患者免疫功能、营养状态及生活质量的变化。结果 干预前,两组患者各项免疫功能指标、营养状态指标及生活质量指标比较,差异均无统计学意义(P>0.05)。干预后,两组上述指标均有明显改善,但观察组患者的各项免疫功能指标明显优于对照组;营养状态改善情况优于对照组;生活质量提高程度优于对照组,各项指标组间比较,差异均有统计学意义(P<0.05)。结论 对口腔癌术后调强放疗患者实施留置鼻胃管营养干预,可有效改善其营养状态,促进免疫功能的提升,提高患者生活质量。

Objective To investigate the effects of indignant nasogastric tube nutritional intervention on immune function operation, nutritional status and quality of life of patients with intensity modulated radiotherapy after oral cancer. Methods From February 2019 to February 2021, 107 patients with postoperative intensity modulated radiotherapy for oral cancer were selected as the research object, and divided into a control group(n=49)and an observation group(n=58) according to the principle of basic feature matching. The control group was given conventional nursing methods, and the observation group was given indignant nasogastric tube nutritional intervention on the basis of the control group. The changes of immune function, nutritional status and quality of life of the two groups were observed and compared. Results Before intervention, there were no significant differences in immune function indexes, nutritional status indexes and quality of life indexes between 2 groups(P>0.05). After intervention, the indexes above in the two groups were significantly improved, but the immune function indexes in the observation group were significantly better than the control group. The improvement of nutritional status was better than the control group. The improvement degree of quality of life was better than the control group, and there were statistically significant differences in all indexes between groups(P<0.05).Conclusion The nutritional intervention of indignant nasogastric tube could effectively improve the nutritional status and promote the immune function of patients after oral cancer operation, improve the quality of life of patients.