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目的:探讨综合干预方案在食管癌病人术后早期肠内营养(EEN)耐受性及机体康复中的应用效果。方法:将入选的93例病人按入院时间顺序分为综合干预组和传统对照组。综合干预组病人进行综合干预治疗,传统对照组病人给予常规护理,比较两组病人术后EN不耐受的发生率、首次闻及肠鸣音时间、首次排气和排便时间以及并发症等临床指标。结果:综合干预组47例病人中有36例(76.60%)能耐受EEN支持;传统对照组46例病人中有24例(52.17%)耐受EEN支持,两组比较差异有显著性统计学意义(P<0.05)。综合干预组病人首次闻及肠鸣音时间、首次排气和排便时间、住院天数等均优于传统对照组(P<0.01)。且综合干预组病人切口感染、肺部感染发生率均低于传统对照组(P<0.05)。结论:采用综合干预方案治疗食管癌术后病人可有效降低EEN不耐受性的发生率,促进病人机体恢复,缩短住院时间,降低术后并发症,提高病人术后生活质量。
Objective: To investigate the effect of comprehensive intervention on early postoperative enteral nutrition (EEN) tolerance and recovery in esophageal cancer patients. Methods: The selected 93 patients were divided into comprehensive intervention group and traditional control group according to the time of admission. The patients in the comprehensive intervention group were treated by comprehensive intervention. The patients in the traditional control group were given routine nursing care. The incidence of postoperative EN intolerance, the first time to smell and bowel sounds time, the first time of exhaust and defecation and complication index. RESULTS: Thirty-six patients (76.60%) of the 47 patients in the comprehensive intervention group were able to tolerate EEN. 24 of the 46 patients (52.17%) in the traditional control group were resistant to EEN. There was significant difference between the two groups Significance (P <0.05). The patients in the comprehensive intervention group were the first to smell and bowel sounds, the first time of exhaust and defecation, the length of hospital stay, etc. were better than the traditional control group (P <0.01). Incision infection and pulmonary infection in the comprehensive intervention group were lower than the traditional control group (P <0.05). Conclusion: The comprehensive intervention treatment of esophageal cancer patients can effectively reduce the incidence of EEN intolerance, promote patient recovery, shorten the hospital stay, reduce postoperative complications and improve postoperative quality of life.