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基于奥马哈系统的精细化营养支持对胃癌患者术后康复效果及生活质量的影响

Effect of Refined Nutritional Support Based on the Omaha System on Postoperative Rehabilitation Outcomes and Quality of Life in Patients with Gastric Cancer

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【作者】 杨超夏秋燕徐明芳刘艳

【Author】 YANG Chao;XIA Qiu-yan;XU Ming-fang;LIU Yan;Department of General Surgery, Jiujiang NO.1 People’s Hospital;

【通讯作者】 杨超;

【机构】 九江市第一人民医院普外一科

【摘要】 目的 探究基于奥马哈系统的精细化营养支持对胃癌患者术后康复效果及生活质量的影响。方法 选取2022年5月至2023年期间我院收治的60例胃癌,随机将其分为两组各30例,对照组采取常规护理,观察组在此基础上增加基于奥马哈系统的精细化营养支持,比较两组术后康复效果、血清白蛋白、总蛋白、血红蛋白水平、生活质量及并发症。结果 观察组术后康复总有效率96.67%高于对照组80.00%(P<0.05)。观察组首次肛门排期时间、开始进食时间、下床活动时间及住院时间皆短于对照组(P<0.05)。护理后观察组血清白蛋白、总蛋白、血红蛋白水平指标皆高于对照组(P<0.05)。护理后观察组生活质量评分高于对照组(P<0.05)。观察组并发症发生率00.00%低于对照组13.33%(P<0.05)。结论 基于奥马哈系统的精细化营养支持在胃癌患者的术后康复中表现出显著优势,进而能促进患者术后病情康复,缩短康复时间的同时改善营养状况,提升生活质量,降低并发症率。

【Abstract】 Objective To explore the effect of refined nutritional support based on Omaha system on the postoperative rehabilitation effect and the quality of life of patients with gastric cancer. Methods Selected our 60 patients during May 2022 to 2023, randomly divided into 30 cases of the control group and observation group, control group take routine care, the observation group to increase refined nutrition support based on Omaha system, compare the two groups, postoperative rehabilitation effect, first anal exhaust time, eating time, bed time, hospital time, serum albumin, total protein, hemoglobin level, quality of life and complications. Results The overall response rate of postoperative recovery in the observation group was 96.67% higher than the control group 80.00%(P<0.05). The time of first anal discharge, the time of food intake, the activity time and the hospitalization time were shorter than those of the control group(P<0.05). The levels of serum albumin, total protein and hemoglobin in the observation group were higher than that in the control group(P<0.05). The QoL score of the observation group was higher than the control group(P<0.05). The complication rate in the observation group was 00.00% lower than that in the control group, 13.33%(P<0.05). Conclusion Fine nutritional support based on the Omaha system shows significant advantages in postoperative rehabilitation of gastric cancer patients, which can effectively promote postoperative recovery, shorten recovery time, improve nutritional status, improve quality of life, and reduce the incidence of complications.

【基金】 江西省卫生健康委科技计划项目(202410657)
  • 【文献出处】 罕少疾病杂志 ,Journal of Rare and Uncommon Diseases , 编辑部邮箱 ,2025年10期
  • 【分类号】R473.73
  • 【下载频次】70
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