围术期营养支持在腹腔镜结直肠癌根治术中的应用价值
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摘要
目的分析围术期开展肠内营养支持在腹腔镜结直肠癌根治术中的应用价值。方法选择2015年4月至2018年4月我院收治的90例接受腹腔镜结直肠癌根治术患者为研究对象,将其分为2组,每组45例。对照组依照氮以及能量摄入情况,补充每日所需维生素,开展肠外营养。观察组在围术期内开展早期肠内营养,分析相关结果。结果与对照组相比,观察组的肛门排气时间以及住院时间更短,差异具有统计学意义(P<0.05);与对照组相比,观察组治疗前2 d的前白蛋白、血清白蛋白以及血红蛋白差异无统计学意义(P>0.05);治疗5 d后,和本组术前相比2组上述指标差异无统计学意义(P>0.05);对照组治疗满意度为78%,观察组为96%,差异具有统计学意义(P<0.05)。结论对于接受腹腔镜结直肠癌根治术患者,在围术期内开展早期肠内营养支持,安全有效,能够在一定程度上促进病患康复速率,且有助于降低患者营养支持治疗费用,值得进一步在临床中推广使用。
Objective To analyze the application value of perioperative enteral nutrition support in laparoscopic radical resection of colorectal cancer. Methods A total of 90 patients who received laparoscopic colorectal cancer radical resection in our hospital from April 2015 to April 2018 were selected as subjects, and divided into 2 groups with 45 patients in each group. The control group received daily vitamin supplements and parenteral nutrition accord-ing to nitrogen and energy intake. Early enteral nutrition was performed in the observation group during perioperative period, and related results were analyzed. Results Compared with the control group, the anal exhaust time and hospitalization time of the observation group were shorter, and the difference was statistically significant( P<0.05). There was no significant difference in the above indicators at 5 days after surgery between the two groups(P>0.05). The treatment satisfaction of the control group was 78%, and that of the observation group was 96%, and the difference was statistically significant(P<0.05). Conclusion Early enteral nutrition support is safe and effective in patients undergoing laparoscopic radical surgery for colorectal cancer. The use of this method can promote the recovery rate of patients to a certain extent, and help to reduce the cost of nutritional support treatment for patients, which is worthy of further application in clinical practice.
Objective To analyze the application value of perioperative enteral nutrition support in laparoscopic radical resection of colorectal cancer. Methods A total of 90 patients who received laparoscopic colorectal cancer radical resection in our hospital from April 2015 to April 2018 were selected as subjects, and divided into 2 groups with 45 patients in each group. The control group received daily vitamin supplements and parenteral nutrition accord-ing to nitrogen and energy intake. Early enteral nutrition was performed in the observation group during perioperative period, and related results were analyzed. Results Compared with the control group, the anal exhaust time and hospitalization time of the observation group were shorter, and the difference was statistically significant( P<0.05). There was no significant difference in the above indicators at 5 days after surgery between the two groups(P>0.05). The treatment satisfaction of the control group was 78%, and that of the observation group was 96%, and the difference was statistically significant(P<0.05). Conclusion Early enteral nutrition support is safe and effective in patients undergoing laparoscopic radical surgery for colorectal cancer. The use of this method can promote the recovery rate of patients to a certain extent, and help to reduce the cost of nutritional support treatment for patients, which is worthy of further application in clinical practice.
引文
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[14]韦斌,黄顺荣,麦威,等.早期肠内营养应用于腹腔镜直肠癌术后的价值分析[J].现代消化及介入诊疗,2015,20(3):227-228.
[2]杜一鸿,刘云莉,李明杰.术前营养支持对腹腔镜结直肠癌根治术后免疫功能和并发症的影响[J].河北医药,2017,39(21):3258-3260.
[3]孙叶飞,张敬浩.循证护理模式在结直肠癌患者腹腔镜根治术围术期中的应用[J].中国医科大学学报,2016,45(10):936-938.
[4]杨飞英,林芳琴,周秋利,等.临床护理路径在腹腔镜胃癌根治术后早期肠内营养中的应用及评价[J].中国现代医生,2012,50(25):104-105.
[5]李海燕.临床护理路径在腹腔镜胃癌根治术后早期肠内营养中的应用[J].内蒙古医学杂志,2015,47(8):1014-1015.
[6]苗大壮,佟金学,贾云鹤.加速康复外科理念在腹腔镜辅助结直肠癌手术围手术期中的应用价值[J].实用肿瘤学杂志,2017,31(2):137-141.
[7]周军,杨斌,张育超,等.老年结直肠癌腹腔镜根治术后早期肠内营养的快速康复价值分析[J].临床和实验医学杂志,2016,13(13):1253-1256.
[8]黄秀琴.肠内营养在腹腔镜结直肠癌根治术后的应用及护理[J].右江民族医学院学报,2010,32(6):977-978.
[9]吴恺明,马晋平,王亮.早期肠内营养在腹腔镜结直肠癌根治术后应用的疗效观察[J/CD].消化肿瘤杂志(电子版),2012,4(3):180-182.
[10]谢娜,张朝军,兰丁,等.早期肠内营养及护理在腹腔镜直肠癌术后的应用[J].检验医学与临床,2011,8(14):1721-1722.
[11]周红飞,张文熠,陆少波,等.早期肠内营养支持对腹腔镜结直肠癌患者术后营养、应激及预后的随机对照研究[J/CD].中华普通外科学文献(电子版),2017,11(4):222-226.
[12]吉章英.早期肠内营养与护理在腹腔镜直肠癌术后的应用[J].医疗装备,2015,29(16):172-173.
[13]王庆,俞林.肠内营养对结直肠癌腹腔镜手术围手术期的影响[J].中国普通外科杂志,2014,23(6):857-859.
[14]韦斌,黄顺荣,麦威,等.早期肠内营养应用于腹腔镜直肠癌术后的价值分析[J].现代消化及介入诊疗,2015,20(3):227-228.