摘要
目的:探讨早期肠内营养对食管癌患者术后生活质量和临床结局的影响。方法:选取2018年9月—2020年9月在大连大学附属新华医院行食管癌手术的患者90例,入选患者按住院单双号分为早期观察组和对照组,每组各45人。观察组给予早期肠内营养,对照组术后给予肠外营养,观察两组病例生活质量和临床结局。结果:术后2周进行生存质量问卷调查,其中观察组总体健康状况得分高于对照组。疲劳、恶心呕吐、失眠、食欲下降、便秘和经济困难6项症状评分低于对照组。观察组患者术后首次排气时间、排便时间、拔除胸腔引流管时间、术后住院时间较对照组明显缩短,观察组患者住院费用显著低于对照组;两组患者在围手术期营养支持期间并发症发生率之间差异无统计学意义。结论:早期肠内营养能够改善患者围手术期的生活质量,并促进患者的恢复。
【Objective】To investigate the effect of early enteral nutrition on the quality of life and clinical outcome of patients with esophageal cancer.【Method】From September 2018 to September 2020,90 patients with esophageal cancer in Xinhua Hospital Affiliated to Dalian University were selected.The patients were divided into early observation group and control group according to the even number of hospitalization sheet.There were 45 people in each group.The observation group was given early enteral nutrition,and the control group was given parenteral nutrition after operation.【Result】The quality of life questionnaire survey was conducted two weeks after operation,and the overall health status score of the observation group was higher than that of the control group.The scores of fatigue,nausea and vomiting,insomnia,loss of appetite,constipation and financial difficulties were lower than those in the control group.The first exhaust time,defecation time,chest drainage tube removal time and postoperative hospital stay in the observation group were significantly shorter than those in the control group,and the hospitalization expenses in the observation group were significantly lower than those in the control group,there was no significant difference in the incidence of complications between the two groups during perioperative nutritional support.【Conclusion】Early enteral nutrition can improve the quality of life and promote the recovery of patients.
作者
于林
YU Lin(Department of Cardiothoracic Surgery,Xinhua Hospital Affiliated to Dalian University,Dalian 116021,China)
出处
《中国食物与营养》
2021年第8期71-73,共3页
Food and Nutrition in China
基金
大连大学博士启动基金(项目编号:20191QL003)。
关键词
肠内营养
肠外营养
食管癌
生活质量
临床结局
enteral nutrition
parenteral nutrition
esophageal cancer
quality of life
clinical outcome
