老年胃癌患者围术期肠内肠外营养的护理方法与效果

Nursing methods and effects of perioperative enteral parenteral nutrition in elderly patients with gastric cancer

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DOI 10.12208/j.jmnm.20250209
刊名
Journal of Modern Nursing MedicineJPCNS
年,卷(期) 2025, 4(4)
作者
作者单位

溧阳市人民医院 江苏常州

摘要
目的 本研究旨在探讨老年胃癌患者围术期肠内肠外营养护理方法的临床效果。方法 选取2023年1月至2024年9月期间,在我院接受胃癌手术治疗的老年患者80例,随机分为观察组和对照组,每组40例。观察组采用肠内肠外联合营养支持方式,对照组则采用单纯肠外营养支持。收集两组患者的营养指标(白蛋白水平、前白蛋白水平、淋巴细胞计数)、胃肠功能恢复指标(首次排气时间、首次排便时间、肠鸣音恢复时间)及并发症发生率数据,并进行统计学分析。结果 干预后,观察组患者的白蛋白水平、前白蛋白水平及淋巴细胞计数均高于对照组(P<0.05);观察组患者的首次排气时间、首次排便时间及肠鸣音恢复时间均短于对照组(P<0.05)。此外,观察组患者的并发症发生率低于对照组(P<0.05)。结论 老年胃癌患者围术期采用肠内肠外联合营养支持方式,能显著改善患者的营养状况,促进胃肠功能恢复,并降低并发症发生率,具有较高的临床应用价值。
Abstract
Objective This study aims to investigate the clinical effects of perioperative enteral parenteral nutrition in elderly patients with gastric cancer. Methods 80 elderly patients undergoing surgery for gastric cancer in our hospital from January 2023 to September 2024 were selected and randomly divided into observation group and control group, with 40 patients in each group. The observation group used inenteral parenteral combined nutrition support, while simple parenteral nutrition support was used in the control group. Data on nutritional indicators (albumin level, prealbumin level, lymphocyte count), gastrointestinal function recovery time (first exhaust time, first defecation time, bowel song recovery time) and complication rate were collected in both groups for statistical analysis. Results After the intervention, the albumin level, prealbumin level and lymphocyte count in the observation group were higher than those in the control group (P <0.05); the time of first discharge, first defecation and bowel sounds were shorter than those in the control group (P <0.05). In addition, the complication rate was lower in the observation group than in the control group (P <0.05). Conclusion The perioperative enteral and parenteral combined nutritional support for elderly gastric cancer patients can significantly improve the nutritional status, promote the recovery of gastrointestinal function, and reduce the incidence of complications, which has a high clinical application value.
关键词
老年胃癌;围术期;肠内肠外营养;营养状况;胃肠功能;并发症
KeyWord
Elderly gastric cancer; Perioperative; Parenteral nutrition; Nutritional status; Gastrointestinal function; Complications
基金项目
页码 115-117
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车丹雪*. 老年胃癌患者围术期肠内肠外营养的护理方法与效果 [J]. 现代护理医学杂志. 2025; 4; (4). 115 - 117.

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陈**南京鼓楼****** 已认证✔

2025-11-26 03:31:57

该文献以临床需求为导向,通过科学的研究设计验证了循证护理在神经外科重症患者肠内营养支持中的核心价值。但缺乏患者术前基本营养状况评估(身高、体重、是否存在营养风险、营养不良等),也缺乏对患者肿瘤分期的评估,后续研究可以增加结局指标数据、开展多中心大样本研究、长期随访、应用标准化工具。

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