结直肠癌患者急诊手术后口服营养补充剂的临床效果

刘发强; 路晓林; 常迎彬

doi:10.3971/j.issn.1000-8578.2019.19.0529

结直肠癌患者急诊手术后口服营养补充剂的临床效果

Clinical Effect of Oral Nutritional Supplements in Patients with Colorectal Cancer After Emergency Surgery

摘要

摘要:
目的评价添加口服营养补充剂对结直肠癌患者急诊手术后康复的影响。
方法回顾性对比分析2008年6月—2018年1月间进行急诊手术的38例结直肠癌患者，按营养支持方法分为TPN组和PN+ONS组，收集两组患者术前、术后第1天、术后第7天的血淋巴细胞数及白蛋白等指标，同时结合病历记载，获取患者并发症发生情况、总住院时间、术后住院时间等数据。
结果两组患者一般资料（包括年龄、性别、手术时间、术中失血量（ml））等指标差异无统计学意义；PN+ONS组术后总并发症发生率和术后感染率低及总住院时间短，但两组间差异无统计学意义。
结论结直肠癌患者急诊手术后适当添加口服营养补充剂，可能有利于减少患者的术后并发症、缩短住院时间。

Abstract:
Objective To assess the clinical effect of oral nutritional supplements in patients with colorectal cancer after emergency surgery.
Methods Based on a retrospective comparative analytic design, 38 CRC patients undergoing emergency surgery were divided into two groups according to nutrition support methods: TPN and PN+ONS groups. We collected the clinical data of two groups, including the number of blood lymphocyte and albumin before surgery and on the 1^st and 7^th postoperative day, postoperative complication, total length of stay and postoperative length of stay.
Results The age, gender, operation time and the amount of operative blood loss volume did not show statistically significant difference between two groups(P > 0.05). PN+ONS group had lower postoperative infection rate and complication rate and shorter total length of stay, but the difference was not statistically significant between two groups(P > 0.05).
Conclusion The application of ONS may be helpful to reduce postoperative complications and shorten the length of stay in CRC patients after emergency surgery.

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