加速康復(fù)外科理念下口服營(yíng)養(yǎng)支持在胃癌病人圍手術(shù)期的應(yīng)用
發(fā)布時(shí)間:2018-05-10 10:18
本文選題:加速康復(fù)外科 + 安素; 參考:《腸外與腸內(nèi)營(yíng)養(yǎng)》2016年05期
【摘要】:目的:探討加速康復(fù)外科理念下,口服營(yíng)養(yǎng)支持對(duì)胃癌病人圍手術(shù)期的作用。方法:對(duì)129例胃癌住院病人行前瞻性隨機(jī)對(duì)照研究,將病人隨機(jī)分為安素組和對(duì)照組,比較兩組病人的治療情況和并發(fā)癥發(fā)生情況。結(jié)果:安素組與對(duì)照組比,明顯縮短病人術(shù)后肛門首次排氣時(shí)間和住院時(shí)間,降低住院總費(fèi)用(P0.05)。安素組病人術(shù)后第3天的營(yíng)養(yǎng)學(xué)指標(biāo)較對(duì)照組有顯著改善(P0.05)。傷口感染和肺部感染發(fā)生率亦明顯低于對(duì)照組(P0.01)。結(jié)論:圍手術(shù)期口服營(yíng)養(yǎng)支持能有效促進(jìn)胃癌病人術(shù)后恢復(fù),降低住院費(fèi)用,是胃癌病人圍手術(shù)期加速康復(fù)外科治療的有效途徑之一。
[Abstract]:Objective: to explore the effect of oral nutritional support on gastric cancer patients in perioperative period under the concept of accelerated rehabilitation surgery. Methods: 129 patients with gastric cancer were randomly divided into two groups. Results: compared with the control group, the anus first exhaust time and hospitalization time were shortened, and the total cost of hospitalization was decreased (P 0.05). The nutritional indexes of the patients in the group A were significantly improved than those in the control group on the 3rd day after operation (P 0.05). The incidence of wound infection and pulmonary infection was significantly lower than that of control group (P 0.01). Conclusion: oral nutritional support in perioperative period can effectively promote postoperative recovery of gastric cancer patients and reduce hospitalization cost. It is one of the effective ways to accelerate the rehabilitation surgery for gastric cancer patients during perioperative period.
【作者單位】: 四川省醫(yī)學(xué)科學(xué)院·四川省人民醫(yī)院胃腸外科;四川友誼醫(yī)院普通外科;
【分類號(hào)】:R735.2;R459.3
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本文編號(hào):1868912
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