胃癌中胃切除术后的早期口服养:准实验性研究
Haiyan He1, Yuanyuan Ma1, Guo Liu2
1Department of Nursing, Army Medical University Daping Hospital, Chongqing, China.
BMJ supportive & palliative care
|February 18, 2025
概括
胃癌手术后早期口服养是安全的,可以改善营养摄入量和胃肠功能. 这种方法可以提高患者在住院期间的康复和出院后的蛋白质消耗.
科学领域:
- 胃肠道学和外科瘤学
背景情况:
- 胃癌手术 (胃切除术) 往往需要经过手术后仔细的营养管理.
- 正在探索早期口服养方案,以优化康复和患者的结果.
研究的目的:
- 评估为胃癌进行胃切除术的患者早期开始口服食的安全性和可行性.
- 为了比较早期口服养和对照组之间的营养摄入量,胃肠功能和临床结果.
主要方法:
- 一项前性研究涉及135名胃癌患者进行胃切除术.
- 患者被分为一个早期口服养组 (61) 和一个对照组 (74).
- 评估结果包括营养摄入量,营养状况,胃肠功能,疼痛,体力活动,临床结果和炎症标志物.
主要成果:
- 早期口服养组显示,口服能量和蛋白质摄入量的遵守率明显更高.
- 早期组的患者需要更少的肠道营养,并且在手术后更早开始口服养.
- 观察到改善的胃肠功能,早期的第一次浮和减少的胃管停留时间表明了这一点.
结论:
- 早期口服养是胃切除术后胃癌患者的安全有效策略.
- 它在住院期间显著提高了口服营养摄入量和胃肠功能,并在出院后改善了蛋白质摄入量.
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