中国临床保健杂志2016，Vol.19Issue(3)：276-279,4.DOI:10.3969/J.issn.1672-6790.2016.03.017
老年结直肠癌患者营养风险筛查及术后早期肠内营养支持的临床研究
Clinical study about nutritional risk screening and early postoperative enteral nutrition support in elderly pa-tients with colorectal cancer
邵拥军 1刘永武 1胡世莲 2涂从银 1章周海 1王俊3
作者信息
- 1. 安徽医科大学附属省立医院 安徽省立医院西区急诊外科，合肥 230031
- 2. 安徽省老年病研究所
- 3. 安徽省保健委员会
- 折叠
摘要
Abstract
Objective To understand the nutritional risk of elderly patients with colorectal cancer,and to ex-plore the clinical effect of early postoperative enteral nutrition support on elderly patients with colorectal cancer.Meth-ods The nutritional state of 98 cases of elderly patients with colorectal cancer were assessed by nutritional risk screening 2002 (NRS2002)before operation.Eighty-nine patients with nutritional risk were selected and randomly di-vided into early enteral nutrition group (46 cases)and early fasting group (early fasting,ventilated patients after gen-eral liquid diet,43 cases).The nutrient solution was slowly infused at the first day after operation in the early enteral nutrition group,and the early fasting group patients were given routine liquid diet after ventilation.Nutritional risk as-sessment was performed again one week later after operation in two groups.The postoperative rehabilitation,incidence of complications and immune indicators,etc were compared between two groups.Results A total of 89 cases with preoperative nutritional risk,accounting for 91% of all individuals.Compared with the fasting group,the postoperative ventilation time[(55.3 ±6.8)h VS.(73.5 ±7.9)h](P <0.05)and postoperative hospital stays[(8.5 ±1.6)d VS.(1 1.3 ±2.1)d](P <0.05)were significantly shorter in the early enteral nutrition group.Conclusion Early nutritional risk screening in elderly patients with colorectal cancer after tumor resection and early enteral nutrition sup-port in patients with nutritional risk can improve the nutritional status of postoperative,helpful to the early rehabilita-tion,reduce complications and shorten the hospitalization days.关键词
结直肠肿瘤/肠道营养/手术后医护/老年人Key words
Colorectal neoplasms/Enteral nutrition/Postoperative care/Aged分类
医药卫生引用本文复制引用
邵拥军,刘永武,胡世莲,涂从银,章周海,王俊..老年结直肠癌患者营养风险筛查及术后早期肠内营养支持的临床研究[J].中国临床保健杂志,2016,19(3):276-279,4.
