作者：蔡慧芬1，卢凌云1，姜桂春2

单位：1. 苏州市立医院北区 消化内科，江苏 苏州 215000； 2. 辽宁省肿瘤医院，辽宁 沈阳 110042

Authors:  CAI Huifeng1, Lu Linyun1, JIANG Guichun2

Unit:  1.Department of Gastroenterology, North District of Suzhou Municipal Hospital, Suzhou 215000, Jiangsu, China;  2.Liaoning Cancer Hospital & Institute, Shenyang 110042, Liaoning, China

摘要：

目的  探讨早期预防性营养风险筛查配合针对性护理在提高食管癌患者预后质量中的应用价值。方法  选取2013年6月～2018年8月就诊本院的77例食管癌手术患者作为研究对象,采用随机数表法分为实验组和对照组,对照组术后行常规护理,实验组在此基础上实施早期预防性营养风险筛查配合针对性护理,观察并比较两组预后情况。结果  术前未开展营养支持前,测定所有患者转铁蛋白、铁蛋白及前白蛋白,结果比较两组无明显差异(P>0.05);术后两周,两组转铁蛋白、铁蛋白及前白蛋白检测结果比较,实验组均高于对照组(P<0.05),NRS2002评分结果比较,实验组低于对照组(P<0.05);术后生活质量评分比较,实验组优于对照组,差异有统计学意义(P<0.05);两组术后并发症情况比较,实验组优于对照组(P<0.05)。结论  食管癌患者术后开展早期预防性营养风险筛查配合针对性护理能明显提高生活质量,预防营养风险事件,降低并发症发生率,具有推广应用价值。

关键词： 营养风险筛查; 针对性护理; 食管癌; 生活质量

Abstract：

Objective  To explore the value of early preventive nutrition risk screening combined with targeted nursing in improving the prognosis quality of patients with esophageal cancer. Methods  A total of 77 patients with esophageal cancer who were admitted to our hospital from June 2013 to August 2018 were enrolled. The patients were divided into experimental group and control group by random number table. All patients underwent surgery. On the basis of routine nursing, the experimental group implemented early preventive nutrition risk screening combined with targeted nursing, then observed and compared the prognosis of the two groups. Results  All patients were tested for transferrin, ferritin and prealbumin before the nutritional support. The results were not significantly different between the two groups (P>0.05). Two weeks after surgery, the two groups were transferred to ferritin and ferritin. The results of pre-albumin test were higher in the experimental group than in the control group (P<0.05). The results of NRS2002 were lower than those in the control group (P<0.05). The postoperative quality of life score was better than that of the control group. The difference was statistically significant (P<0.05). The postoperative complications were better in the experimental group than in the control group (P<0.05). Conclusion  Early postoperative preventive nutrition risk screening combined with targeted nursing can significantly improve the quality of life, prevent nutritional risk events, reduce the incidence of complications, and promote the application value.

Key Words:  Nutritional risk screening; Targeted care; Esophageal cancer; Quality of life