食管营养管理小程序对微创食管癌切除术后出院患者的营养状况、生活质量及营养管路并发症的影响

doi:10.3969/j.issn.1671-7171.2023.06.001

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摘要【目的】探讨食管营养管理微信小程序对微创食管癌切除术后出院患者的营养状况、生活质量及营养管路并发症的影响。【方法】选取2021年11月至2022年9月在本院行微创食管癌切除术治疗的96例患者,采用随机数字表法将其分为观察组(采用食管营养管理微信小程序进行随访,n=50)和对照组(采用电话或微信进行随访,n=46)。比较两组患者出院当天(干预前)与出院3个月(干预后)复查时的体重指数(BMI)、握力、皮褶厚度、肿瘤患者生活质量(QLQ-C30)评分和卡氏(KPS)评分,比较两组患者血清白蛋白(Alb)、血红蛋白(Hb)、前白蛋白(PAB)、血肌酐(Scr),记录两组患者术后空肠营养管路并发症发生情况。【结果】干预后,两组患者的BMI、握力、QLQ-C30评分和KPS评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);两组患者血清Alb、Scr、Hb、PAB水平均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组患者空肠营养管路并发症发生率为8.00%(4/50),低于对照组的15.22%(7/46),差异有统计学意义(P<0.05)。【结论】微创食管癌切除术后采用食管营养管理微信小程序可提高患者的生活质量,可改善患者营养不良状况和饮食习惯,降低营养管路并发症发生率,值得临床借鉴。

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关键词 ：食管肿瘤/外科学, 营养状况, 生活质量

Abstract：【Objective】 To explore the impact of the WeChat mini program for esophageal nutrition management on the nutritional status,quality of life,and its complications of the nutrition pipeline of discharged patients after minimally invasive esophageal cancer resection. 【Methods】 A total of 96 patients who underwent minimally invasive esophageal cancer resection in our hospital from November 2021 to September 2022 were selected and randomly divided into an observation group (followed up using the esophageal nutrition management WeChat mini program,n=50) and a control group (followed up using phone or WeChat,n=46). On the day of discharge (before intervention) and three months after discharge (after intervention),the body mass index (BMI),grip strength,skin fold thickness,quality of life (QLQ-C30) score of tumor patients,and KPS score of two groups of patients were compared. The serum albumin (Alb),hemoglobin (Hb),prealbumin (PAB),and creatinine (Scr) of the two groups of patients were reviewed and compared,and the incidence of postoperative complications in the jejunal nutrition pipeline was recorded. 【Results】 After intervention,the BMI,grip strength,QLQ-C30 score,and KPS score of both groups of patients were higher than those before intervention,and the observation group was higher than the control group,with statistical significance (P<0.05); The serum levels of Alb,Scr,Hb and PAB in both groups of patients were higher than those before intervention,and the observation group was higher than the control group,with a statistically significant difference (P<0.05). The incidence of jejunal nutrition tube complications in the observation group was 8.00% (4/50),lower than the control group's 15.22% (7/46),with a statistically significant difference (P<0.05). 【Conclusion】 The application of the WeChat mini program for esophageal nutrition management after minimally invasive esophageal cancer resection can improve the quality of life of patients,improve malnutrition status and dietary habits,reduce the incidence of nutritional pipeline complications,and is worthy of clinical reference.

Key words： Esophageal Neoplasms/SU Nutritional Status Quality of Life

收稿日期: 2023-03-22

中图分类号:

R735.1

基金资助:国家自然科学基金青年项目(81902433);解放军总医院第六医学中心护理创新培育基金(HLCX202111)

引用本文:

王倩, 鲁静, 宋伟安, 狄守印, 李雪, 范博士, 陶莎, 陈佩瑶. 食管营养管理小程序对微创食管癌切除术后出院患者的营养状况、生活质量及营养管路并发症的影响[J]. 医学临床研究, 2023, 40(6): 801-804.
WANG Qian, LU Jing, SONG Wei-an, et al. The Impact of a Mini Program for Esophageal Nutrition Management on the Nutritional Status,Quality of Life and Nutritional Pipeline Complications of Discharged Patients after Minimally Invasive Esophageal Cancer Resection. JOURNAL OF CLINICAL RESEARCH, 2023, 40(6): 801-804.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2023.06.001 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2023/V40/I6/801