Academic Journal
营养预康复在妇科恶性肿瘤手术患者围手术期 中的应用效果分析.
| العنوان: | 营养预康复在妇科恶性肿瘤手术患者围手术期 中的应用效果分析. |
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| Alternate Title: | Application effect analysis of nutritional pre-rehabilitation in perioperative period of patients with gynecological malignant tumor surgery. |
| المؤلفون: | 刘莉萍1 1497255835@qq.com, 林小群1, 夏秀芳1, 林文1, 朱敏婷1, 韦凤玲1 |
| المصدر: | Journal of Modern Medicine & Health. 12/15/2024, Vol. 40 Issue 23, p4047-4051. 5p. |
| Abstract (English): | Objective To explore the application effect of nutritional pre-rehabilitation in perioperative period of patients with gynecological malignant tumor surgery. Methods A total of 100 patients with gynecological malignant tumors who underwent open surgery in the hospital from January 2022 to July 2023 were selected and divided into control group and experimental group by random number table method, with 50 cases in each group. The patients in the control group were treated with stepwise rapid rehabilitation diet management and nursing. The patients in the experimental group were treated with nutritional pre-rehabilitation nursing on the basis of the control group. The serum total protein and albumin were compared between the two groups at the time of admission, the second day after operation and the fifth day after operation. The incidence of poor wound healing, postoperative malnutrition, postoperative hypoproteinemia, intestinal obstruction, urinary tract infection, deep venous thrombosis of lower extremity, pneumonia and pressure injury, the first anal exhaust time, the first time to get out of bed and the hospitalization time were compared between the two groups. Results The serum total albumin and albumin values of the two groups of patients on admission, on the 2nd and 5th day after operation decreased first and then increased. The serum total protein and albumin on the 2nd and 5th day after operation were significantly different from those on admission (P<0.001). There was no significant difference in serum total protein value between the two groups on the 2nd day after operation and the 5th day after operation (P > 0.05) . The albumin values of the two groups on the second day after operation were significantly different from those on the fifth day after operation (P < 0.05) The serum total albumin and albumin values of the experimental group were higher than those of the control group on the 2nd and 5th day after operation, and the differences were statistically significant (P < 0.05) . The incidence of poor wound healing, postoperative malnutrition and postoperative hypoproteinemia in the experimental group were lower than those in the control group, the differences were statistically significant (P < 0.05) . There were no significant differences in postoperative urinary tract infection, lower extremity deep venous thrombosis, pneumonia and pressure injury between the two groups (P > 0.05) The first anal exhaust time, first ambulation time and hospitalization time in the experimental group were shorter than those in the control group, and the differences were statistically significant (P < 0.05) . Conclusion Nutritional pre-rehabilitation can improve perioperative nutrition, improve prognosis, reduce postoperative complications, shorten postoperative gastrointestinal function recovery time and hospitalization time, and accelerate patient recovery in patients with gynecological malignant tumors. [ABSTRACT FROM AUTHOR] |
| Abstract (Chinese): | 目的探讨营养预康复在妇科恶性肿瘤手术患者围手术期中的应用效果。方法选取2022 年1月至2023年7月在该院住院的妇科恶性肿瘤行开腹手术患者100例, 采用随机数字表法将其分为对照组 和试验组, 每组50例, 对照组患者实施阶梯式快速康复饮食管理护理, 试验组患者在对照组基础上实施营养预 康复护理;对比2组患者入院时、术后第2天、术后第5天血清总蛋白、白蛋白情况, 创口愈合不良、术后营养不 良、术后低蛋白血症、肠梗阻、尿路感染、下肢深静脉血栓、肺炎、压力性损伤发生率, 以及首次肛门排气时间、首 次下床活动时间、住院时间。结果2组患者入院时、术后第2天、术后第5天血清总白蛋白、白蛋白水平均为 先下降后上升, 术后第2天和术后第5天血清总蛋白、白蛋白水平与入院时比较, 差异均有统计学意义(P< 0.001);2组患者术后第2天血清总蛋白水平与术后第5天比较, 差异均无统计学意义 (P > 0.05); 2 组患者术 后第2天白蛋白水平与术后第5天, 差异有统计学意义 (P < 0.05) ;试验组患者术后第2、5天血清总蛋白、白蛋 白水平均高于对照组, 差异均有统计学意义 (P < 0.05) 。试验组患者创口愈合不良、术后营养不良、术后低蛋白 血症发生率均低于对照组, 差异均有统计学 chi(P < 0.05) 。2组患者术后尿路感染、下肢深静脉血栓、肺炎、 压力性损伤发生率比较, 差异均无统计学意义 P > 0.05 ) ;试验组患者首次肛门排气时间、首次下床活动时间、 住院时间均短于对照组, 差异均有统计学意义 P < 0.05 ) 。结论营养预康复能改善妇科恶性肿瘤患者围手术 期营养, 改善预后, 减少术后并发症的发生, 缩短术后胃肠功能恢复时间和住院时间, 加速患者康复。 [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: | Academic Search Index |
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