早期肠内营养支持改善胃癌患者术后身体状态及睡眠质量的效果

Effect of Early Enteral Nutrition Support on Improving Postoperative State and Sleep Quality in Patients with Gastric Cancer

目的:研究早期肠内营养支持改善胃癌手术患者术后身体状态和睡眠质量的效果。方法:选取2020年1月至2021年12月在泉州市光前医院接受手术治疗的胃癌患者72例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组36例。对照组术后实施肠外营养,观察组术后实施早期肠内营养支持,比较2组的免疫功能指标、营养状态指标、术后身体恢复情况以及睡眠质量。结果:1)干预后,观察组IgA、IgG和IgM水平均显著高于对照组,2组比较差异均有统计学意义(均P<0.05);2)护理后,观察组的总蛋白、白蛋白、前白蛋白和血红蛋白水平均显著高于对照组,2组比较差异均有统计学意义(均P<0.05);3)观察组患者的术后胃肠功能恢复时间、术后下床活动时间和术后住院时间均较对照组短,2组比较差异均有统计学意义(均P<0.05);4)护理后,2组患者的睡眠质量评分均下降,观察组患者的睡眠质量评分较对照组低,2组比较差异有统计学意义(P<0.05)。结论:胃癌手术患者术后接受早期肠内营养支持既有利于改善机体的免疫功能和营养状态,缩短术后身体康复时间,又可以提高患者的睡眠质量,值得临床推广应用。

Objective:To study the effect of early enteral nutrition support on improving postoperative physical status and sleep quality in patients with gastric cancer surgery.Methods:A total of 72 gastric cancer patients who received surgical treatment in Guangqian Hospital from January 2020 to December 2021 were selected as the main subjects,and were divided into the control group and the observation group by random number table method,with 36 cases in each group.The control group was given parenteral nutrition after operation,and the observation group was given early enteral nutrition support after operation.The similarities and differences in immune function indexes,nutritional status indexes,postoperative physical recovery and sleep quality were compared between the two groups.Results:1)After intervention,the levels of immunoglobulin A,immunoglobulin G and immunoglobulin M in the observation group were significantly higher than those in the control group,and there were significant differences between the two groups(P s<0.05);2)After the intervention,the levels of total protein,albumin,prealbumin and hemoglobin in the observation group were significantly higher than those in the control group,there was a significant difference between the two groups(P s<0.05);3)Compared with the control group,the postoperative gastrointestinal function recovery time,postoperative ambulation time and postoperative hospital stay of the observation group were relatively shorter,and there were significant differences(P s<0.05);4)The sleep quality of patients in the observation group was significantly better than that before nursing,and the sleep quality score of the observation group after nursing was lower than that of the control group,with a significant difference(P<0.05).Conclusion:Early enteral nutrition support after surgery for gastric cancer patients can not only improve the immune function and nutritional status of the body,shorten the postoperative physical recovery time,but also improve the sleep quality of patients,so it can be further popularized and applied in clinical practice.