围手术期营养支持的规范化管理在腹腔镜胃癌根治术中的应用OACSTPCD
Application of standardized management of perioperative nutritional support in patients undergoing laparoscopic radical gastrectomy for gastric cancer
目的:探讨围手术期营养支持的规范化管理在腹腔镜胃癌根治术中的应用效果.方法:连续选取2022 年12 月至2023 年10 月行腹腔镜胃癌根治术的120 例患者,随机分为对照组与实验组,每组60 例,对照组采用常规营养支持,实验组早期规范化予以肠内营养支持,对比两组应用效果.结果:两组患者术前营养指标差异无统计学意义;术后第1 天、第5 天,两组白蛋白、前白蛋白、血红蛋白水平下降,实验组营养指标更高,差异有统计学意义(P<0.05).实验组术后首次下床时间、首次排气时间、首次饮水时间、首次进流质饮食时间短于对照组(P<0.05).结论:腹腔镜胃癌根治术患者采用围手术期营养支持规范化管理可提高患者术后营养状况,对于加快术后康复具有积极意义.
Objective:To explore the effect of standardized management of perioperative nutritional support in laparoscopic ra-dical gastrectomy for gastric cancer.Methods:This study included 120 continuous patients who underwent laparoscopic radical gastrec-tomy from Dec.2022 to Oct.2023.All patients were randomly divided into a control group and an experimental group,with 60 cases in each group.The control group received routine nutritional support,while the experimental group received early standardized enteral nutrition support.The application effects of the two groups were compared.Results:There were no statistically significant differences in preoperative nutritional indicators between the two groups.On the first and fifth day after surgery,the levels of albumin,prealbumin,and hemoglobin in both groups decreased compared with preoperative levels.However,the nutritional indicators in the experimental group were higher,showing statistically significant differences(P<0.05).The time in the experimental group was significantly shorter than that in the control group in terms of first ambulation,first anal exhaust,first drinking water,and first intaking liquid diets after the sur-gery(P<0.05).Conclusions:Standardized management of perioperative nutritional support can improve postoperative nutritional status and has a positive impact on shortening the postoperative recovery period for patients undergoing laparoscopic radical gastrectomy for gastric cancer.
宋华;李玉芹;魏猛;楚亚丽
山东大学齐鲁医院胃肠外科,山东 济南,250012山东大学齐鲁医院门诊手术室山东大学齐鲁医院胃肠外科,山东 济南,250012山东大学齐鲁医院胃肠外科,山东 济南,250012
临床医学
胃肿瘤胃癌根治术腹腔镜检查围手术期营养支持规范化管理
Stomach neoplasmsRadical gastrectomyLaparoscopyPerioperative periodNutritional supportStandardized management
《腹腔镜外科杂志》 2024 (11)
830-833,4
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