[1]黎 双,陈琛洁.围手术期营养支持护理对重度营养不良结直肠癌患者影响及预后的临床观察[J].大众科技,2020,22(05):95-98.
　Clinical Observation on the Influence and Prognosis of Perioperative NutritionSupport Nursing on Severely Malnutrition Colorectal Cancer Patients[J].Popular Science & Technology,2020,22(05):95-98.
点击复制

围手术期营养支持护理对重度营养不良结直肠癌患者影响及预后的临床观察()
分享到：

《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
22
期数:
2020年05
页码:
95-98
栏目:
医药与卫生
出版日期:
2020-05-20

文章信息/Info

Title:
Clinical Observation on the Influence and Prognosis of Perioperative NutritionSupport Nursing on Severely Malnutrition Colorectal Cancer Patients
作者:
黎 双;  陈琛洁
（广西中医药大学附属瑞康医院，广西 南宁 530011）
关键词:
结直肠癌; 营养不良; 围手术期; 营养支持; 临床观察; 疗效
Keywords:
colorectal cancer;  malnutrition;  perioperative period;  nutritional support;  clinical observation;  curative effect
文献标志码:
A
摘要:
目的：探究重度营养不良结直肠癌患者的围手术期营养支持护理及对预后的影响。方法：以 2016 年 8 月至 2019年 10 月广西中医药大学附属瑞康医院收治的重度营养不良结直肠癌患者 116 例为研究对象，将所有患者随机分为两组，其中对照组患者（n=58）进行常规护理，并于术后行肠内营养支持，观察组患者（n=58）则接受围手术期营养支持护理。对比两组患者的术后恢复情况相关指标，营养指标，并发症发生情况，护理满意度等。结果：观察组患者的肛门排气时间、胃管留置时间、术后进食时间、术后首次排便、术后住院时间等术后恢复情况相关指标均明显优于对照组（P＜0.05）；观察组术后10 d 的白蛋白、前白蛋白、转铁蛋白水平均较术前有显著改善且明显优于对照组（P＜0.05）；观察组并发症发生率显著低于对照组（P＜0.05）。结论：围手术期营养支持护理能够明显改善重度营养不良结直肠癌患者的营养状况，降低并发症的发生率，有助于患者的术后康复，值得推广应用。
Abstract:
Objective: To explore the perioperative nutritional support nursing and prognostic impact of severe malnutrition onpatients with severe malnutrition colorectal cancer. Methods: 116 patients with severe malnutrition colorectal cancer admitted in RuikangHospital Affiliated to Guangxi University of traditional Chinese Medicine from August 2016 to October 2019 were randomly dividedinto two groups, among which the control group (n=58) received routine nursing and postoperative enteral nutrition support, while theobservation group (n=58) received perioperative nutritional support. The related indexes, nutritional indexes, complications and nursingsatisfaction were compared between the two groups. Results: The anal exhaust time, gastric tube indwelling time, postoperative feedingtime, postoperative first defecation and postoperative hospitalization time in the observation group were significantly better than those inthe control group (P＜0.05); the average of albumin, prealbumin and transferrin water in the observation group 10 d after operation wassignificantly better than that in the control group (P＜0.05); the incidence of complications in the observation group was significantlylower than that in the control group (P＜0.05). Conclusion: Perioperative nutritional support nursing can obviously improve thenutritional status of patients with severe malnutrition colorectal cancer, reduce the incidence of complications, and help patients recoverafter surgery, which is worthy of popularization and application.

参考文献/References:

[1] Dineen S P, Robinson K A, Roland C L, et al. Feeding tubeplacement during cytoreductive surgery and heatedintraperitoneal chemotherapy does not improvepostoperative nutrition and is associated with longer lengthof stay and higher readmission rates[J]. Journal of SurgicalResearch, 2016, 200(1): 158-163.[2] 郭添羽，黄昌浩，袁伟杰. 术前营养风险筛查对胃癌和结肠癌患者围手术期营养支持的临床意义[J]. 中国现代医学杂志，2016，26(5): 119-123.[3] 何琪. 术后早期经口肠内营养对结直肠癌患者术后免疫和肠黏膜屏障的影响[J]. 中国中西医结合消化杂志，2016，24(4): 292-294.[4] 马虹，祁蕾. 结肠癌患者围手术期应用加速康复营养护理的临床效果分析[J]. 中国肿瘤临床与康复，2016(8):997-1000.[5] 肖永彪，贺宇琴. 结直肠癌各分期的营养风险评分和相应营养支持与术后并发症的关系分析[J]. 医学临床研究，2016，33(6): 1236-1238.[6] Monika Z, Joanna K L, Leszek K, et al. Nutritional statusassessment in colorectal cancer patients qualified tosystemic treatment[J]. Wspóczesna Onkologia, 2017,(2):157-161.- 98 -[7] 花超，陈格亮，郑艳，等. 肠内营养支持在结直肠癌患者快速康复手术中的实践与应用效果评价[J]. 世界临床药物，2016(8): 528-530.[8] 陈博，徐阿曼，胡孔旺，等. 营养支持干预对有营养风险胃肠恶性肿瘤病人临床结局和成本-效果比的影响[J].肠外与肠内营养，2016，23(2): 78-81.[9] Sorensen J, Kondrup J, Prokopowicz J, et al. EuroOOPS:an inter-national, multicentre study to implement nutritionalrisk screening and evaluate clinical outcome[J]. ClinicalNutrition, 2008, 27(3): 340-349.[10] 陈满宇，吕龙，何秋山，等. 胃肠道恶性肿瘤患者营养状况评价及影响因素分析[J]. 东南大学学报（医学版），2016，35(2): 208-211.[11] 赖丽雅. 老年胃肠道恶性肿瘤患者围术期营养不良和营养风险状况评估及营养支持的合理性应用[J]. 中国生化药物杂志，2017(11): 306-308.[12] Zhou W, Xu X, Yan J, et al. Nutritional risk is still a clinicalpre-dictor of postoperative outcomes in laparoscopicabdominal surgery[J]. Surgical Endoscopy, 2013, 27(7):2569-2574.[13] 王政. 营养支持治疗对结肠癌根治术患者的临床效果观察[J]. 中国医学前沿杂志（电子版），2015(8): 55-57.[14] 王海飞，赵建国，孔莎莎，等. 消化道肿瘤术后早期肠内营养联合肠外营养支持与全肠外营养支持的疗效比较[J].中国医院用药评价与分析，2015，15(9): 1153- 1155.[15] Jie B, Jiang Z M, Nolan M T, et al. Impact of nutritionalsupport on clinical outcome in patients at nutritional risk:amulticenter,prospective cohort study in Baltimore andBeijing teaching hospitals[J]. Nutrition，2010，26(11-12):1088-1093.[16] 安大立，谭嗣伟，赵团结，等. 术前肠内营养支持对严重营养不良的结肠癌患者血清蛋白和肿瘤增殖细胞核抗原的影响[J]. 中华胃肠外科杂志，2008，11(4): 383-384.[17] Simons C C J M, Schouten L J, Godschalk R, et al. Bodysize, physical activity, genetic variants in the insulin-likegrowth factor pathway and colorectal cancer risk[J].Carcinogenesis, 2015, 36(9): 971-981.[18] Tanaka T, Sato T, Yamashita K, et al. Effect of preoperativenutritional status on surgical site infection in colorectalcancer resection[J]. Digestive Surgery, 2016, 34(1): 68-77.[19] 马艳梅，常箫匀. 结直肠癌患者围手术期肠内外联合营养支持与预后的关系[J].中国医科大学学报，2018，47(7): 604-608.[20] Cao Y, Rosner B A, Ma J, et al. Assessing individual riskfor high-risk colorectal adenoma at first-time screeningcolonoscopy[J]. International Journal of Cancer, 2015,137(7): 1719-1728.

相似文献/References:

[1]施幼雄 韦建宝.结直肠癌营养风险筛查研究进展[J].大众科技,2014,16(11):115.
　Research progress of nutritional risk screening in colorectal cancer[J].Popular Science & Technology,2014,16(05):115.
[2]李 静.结直肠癌患者贫血相关因素及护理进展[J].大众科技,2020,22(06):104.
　Related Factors and Nursing Progress of Anemia in Patients with Colorectal Cancer[J].Popular Science & Technology,2020,22(05):104.
[3]王康麟 莫林烽 陈 涛 杨 彦.结直肠癌可变更性危险因素研究进展[J].大众科技,2021,23(11):109.
　Research Progress on Modifiable Risk Factors for Colorectal Cancer[J].Popular Science & Technology,2021,23(05):109.

备注/Memo

备注/Memo:
【收稿日期】2020-03-06【作者简介】黎双（1979－），女，广西中医药大学附属瑞康医院主管护师，研究方向为外科护理。
更新日期/Last Update: 2020-08-04