自拟补益散结饮辅助治疗对食管癌患者术后肠内营养的耐受性与营养水平的影响
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摘要
目的探讨自拟补益散结饮辅助治疗对食管癌患者术后肠内营养的耐受性及营养水平的影响。方法选取2016年2月至2018年1月我院肿瘤科收治的82例食管癌患者为研究对象,采用随机对照的方法将其分为对照组40例和研究组42例,对照组实施肠内营养混悬液支持治疗,研究组在对照组基础上给予自拟补益散结饮辅助疗法。比较两组患者肠内营养耐受性、中医证候积分、免疫功能变化、营养指标变化。结果研究组患者肠内营养耐受率高于对照组(P <0. 05);研究组患者证候积分低于对照组(P <0. 05);研究组免疫功能及营养指标水平优于对照组(P <0. 05)。结论食管癌患者术后采用自拟补益散结饮辅助治疗,有效改善患者免疫系统,提高营养状态,效果显著,具有临床运用价值。
Objective To investigate the effect of self-made Buyi Sanjie decoction adjuvant therapy on postoperative enteral nutrition tolerance and nutrition level in patients with esophageal cancer. Methods To select 82 cases of patients with esophageal cancer who were admitted to our department of oncology from February 2016 to January 2018 as study subjects,and they were divided into control group with 40 cases and study group with 42 cases randomly. Patients in the control group were treated by enteral nutritional suspension supportive treatment. Patients in the study group was given self-made Buyi Sanjie decoction adjuvant therapy on the basis of the control group. The enteral nutrition tolerance,TCM syndrome score,immune function change,nutritional index change of patients in the two groups were compared. Results The enteral nutrition tolerance rate of the study group was higher than that of the control group( P < 0. 05). The syndrome score of the study group was lower than that of the control group( P < 0. 05). The immune function and nutritional index of the study group were better than that of the control group( P < 0. 05). Conclusion Treating patients with esophageal cancer by self-made Buyi Sanjie decoction can improve the patient's immune system and nutritional status effectively. It has significant effects as well as clinical application values.
Objective To investigate the effect of self-made Buyi Sanjie decoction adjuvant therapy on postoperative enteral nutrition tolerance and nutrition level in patients with esophageal cancer. Methods To select 82 cases of patients with esophageal cancer who were admitted to our department of oncology from February 2016 to January 2018 as study subjects,and they were divided into control group with 40 cases and study group with 42 cases randomly. Patients in the control group were treated by enteral nutritional suspension supportive treatment. Patients in the study group was given self-made Buyi Sanjie decoction adjuvant therapy on the basis of the control group. The enteral nutrition tolerance,TCM syndrome score,immune function change,nutritional index change of patients in the two groups were compared. Results The enteral nutrition tolerance rate of the study group was higher than that of the control group( P < 0. 05). The syndrome score of the study group was lower than that of the control group( P < 0. 05). The immune function and nutritional index of the study group were better than that of the control group( P < 0. 05). Conclusion Treating patients with esophageal cancer by self-made Buyi Sanjie decoction can improve the patient's immune system and nutritional status effectively. It has significant effects as well as clinical application values.
引文
[1]陈美.食管癌术后早期经鼻肠营养管行肠内营养的护理体会[J].实用临床医药杂志,2014,18(14):116-117.
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[8]朱捷,杨鲸蓉,曾志勇.食管癌术后24 h内与24 h后肠内营养对患者营养状况、肠黏膜屏障和免疫功能的影响[J].中国医药导报,2016,13(31):81-84.
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[10]董高悦,许勤,孟爱凤,等.综合干预治疗在食管癌病人术后早期肠内营养耐受性及机体康复的研究[J].肠外与肠内营养,2017,24(3):146-149.
[11] Xi F,Li N,Geng Y,et al. Effects of Delayed Enteral Nutrition on Inflammatory Responses and Immune Function Competence in Critically Ill Patients with Prolonged Fasting[J]. Hepato-gastroenterology,2014,61(131):606-612.
[12]韩超,赵艺媛,陶立燕,等.食管癌患者术后早期肠内营养支持耐受性及影响因素的研究[J].中国中西医结合急救杂志,2015,22(3):304-306.
[13]张贵堂,冯运章,刘记恩,等.谷氨酰胺强化低氮、低热量肠内营养对胃肠肿瘤腹腔热灌注术后免疫、营养及炎性反应影响[J].现代中西医结合杂志,2017,26(15):1652-1655.
[14]唐晓辉,龙先娥.自拟补益散结饮辅助肠内营养支持对行根治手术食管癌患者术后生活质量及免疫功能的影响[J].现代中西医结合杂志,2017,26(9):944-947.
[2]招坤兰.系统化营养干预在食管癌围手术期患者快速康复中的应用[J].护理实践与研究,2018,15(10):95-97.
[3]王晶,聂莉,黎发海,等.经鼻肠内营养支持对胃癌术后腹泻的早期干预效果[J].医学综述,2016,22(19):3931-3933.
[4] Bozzetti F,Mariani L. Perioperative nutritional support of patients undergoing pancreatic surgery in the age of ERAS[J]. Nutrition,2014,30(11-12):1267-1271.
[5]姜美霞,杨昌志,李佳琪,等.食管癌术后肠内营养患者胃潴留的影响因素分析[J].护理学杂志,2017,32(6):53-54.
[6]刘慧,叶剑.食管癌术后早期肠内营养的护理研究[J].实用临床医药杂志,2015,19(8):137-138.
[7]朱俊杰,郭明贤,王士祺,等.胃癌患者术后早期肠内营养耐受状况及其相关因素[J].中华临床营养杂志,2014,22(3):131-135.
[8]朱捷,杨鲸蓉,曾志勇.食管癌术后24 h内与24 h后肠内营养对患者营养状况、肠黏膜屏障和免疫功能的影响[J].中国医药导报,2016,13(31):81-84.
[9]何晓琴,陈志明,程鹏,等.食管癌术后肠内营养支持的临床效果及其耐受性观察[J].中华全科医学,2016,14(6):959-961.
[10]董高悦,许勤,孟爱凤,等.综合干预治疗在食管癌病人术后早期肠内营养耐受性及机体康复的研究[J].肠外与肠内营养,2017,24(3):146-149.
[11] Xi F,Li N,Geng Y,et al. Effects of Delayed Enteral Nutrition on Inflammatory Responses and Immune Function Competence in Critically Ill Patients with Prolonged Fasting[J]. Hepato-gastroenterology,2014,61(131):606-612.
[12]韩超,赵艺媛,陶立燕,等.食管癌患者术后早期肠内营养支持耐受性及影响因素的研究[J].中国中西医结合急救杂志,2015,22(3):304-306.
[13]张贵堂,冯运章,刘记恩,等.谷氨酰胺强化低氮、低热量肠内营养对胃肠肿瘤腹腔热灌注术后免疫、营养及炎性反应影响[J].现代中西医结合杂志,2017,26(15):1652-1655.
[14]唐晓辉,龙先娥.自拟补益散结饮辅助肠内营养支持对行根治手术食管癌患者术后生活质量及免疫功能的影响[J].现代中西医结合杂志,2017,26(9):944-947.