Application of nursing intervention in early postoperative nutritional support treatment for esophageal cancer patients after surgery
Liu Wei
Abstract：Objective:To probe into the application effect of nursing intervention for early nutritional support therapy of esophageal cancer patients after surgery.Methods:A total of 204 patients with esophageal cancer who underwent radical surgery from May 2014 to May 2015 were randomly divided into two groups,102 cases in each.The patients in control group received the postoperative conventional fasting,parenteral nutrition support and related care.The patients in observation group were given early postoperative enteral and parenteral nutrition therapy and nursing intervention.On the eighth day after surgery,the nutritional status,immune function,gastrointestinal function recovery and complications were compared between both groups.Results:On the 8th day after operation,serum prealbumin(33.24 g/L±3.28 g/L),albumin(32.78 g/L±4.14 g/L),serum immunoglobulin IgA(2.52 g/L±0.47 g/L),IgG(13.52 g/L±1.44 g/L) and IgM(1.72 g/L±0.36 g/L) in observation group were higher than those in control group,serum prealbumin(30.45 g/L± 3.32g /L),albumin(30.21g/L±3.21g/L),serum immunoglobulin IgA(2.21 g/L±0.28 g/L),IgG(12.46 g/L± 1.16 g/L),IgM(1.61 g/L±0.28 g/L).The difference between the two groups was statistically significant(P＜0.05).The recovery time of bowel sounds(63.63 h±6.37 h),anal exhaust time(68.74 h±9.53 h),defecation time(65.59 h±8.75 h) of patients in observation group were better than those in control group,recovery time of bowel sounds(84.37 h±8.39h),anal exhaust time(115.37 h±12.52 h),anal exhaust time(114.69 h±11.75 h).The difference between the two groups was statistically significant(P＜0.01).There was no statistically significant difference in the incidence of complications between the two groups (P＞ 0.05).Conclusions:Early enteral and parenteral nutrition therapy combined with nursing intervention can effectively improve the nutritional status of patients,improve immune function and promote gastrointestinal function recovery,and cannot increase the incidence of complications.
Keywords：esophageal cancerenteral nutritionparenteral nutritionearly interventionnutritional support
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 683-686 )