胃癌保守治疗后患者早期肠内营养达标状况的影响因素分析及干预对策

目的探讨影响胃癌保守治疗后患者早期肠内营养状况达标的因素,并提出相应干预对策。方法选取胃癌保守治疗患者118例,均在治疗过程中给予肠内营养治疗。根据患者营养状况是否达标将其分为达标组和未达标组,并回顾性分析患者的临床资料。结果胃癌保守治疗早期肠内营养达标患者平均年龄明显低于未达标患者,体质量≤60 kg以及肠内营养耐受者均明显多于未达标者,两组比较差异有统计学意义(P0.05)。两组患者的性别比例差异无统计学意义(P0.05)。经Logistic回归分析,胃癌保守治疗患者平均年龄、胃癌分期、体质量水平以及肠内营养耐受情况是影响患者肠内营养达标状况的独立危险因素(P0.05)。结论在实施肠内营养之前,应充分考虑到患者的个体差异,为患者进行个体化的肠内营养支持,提高肠内营养达标率。

Influencing factors and intervention strategies of nutrition levels of patients receiving enteral nutrition after conservative treatment of gastric cancer

Objective To investigate the influencing factors of nutrition levels of patients receiving enteral nutrition after conservative treatment of gastric cancer,and to propose appropriate intervention strategies.Methods One hundred and eighteen patients with conservative treatment of gastric cancer were selected,all patients were given enteral nutrition therapy in the treatment process.According to the standards of patients,the patients were divided into standard group and non standardgroup and the clinical data of all patients were analyzed.Results The average age of standard group was significantly lower than that of non-standard group,the patients whose weight less than 60 kg and enteral nutrition tolerance standard group were significantly more than those in non-standard group.The difference was statistically significant in two groups （P ＜ 0.05）.Gender differences in the two groups was not statistically significant （P ＞ 0.05）.The logistic regression analysis found that the average age,staging of gastric cancer,body weight and tolerance of enteral nutrition were independent risk factors in patients with enteral nutrition status of compliance （P ＜ 0.05）.Conclusion Before the implementation of enteral nutrition,the individual differences of patients should be considered,provide individualized enteral nutrition support for patients and improve compliance rate enteral nutrition.