Study on Effect of Different Nutritional Supports in Elderly Patients after Radical Resection of Colon Cancer
MU Xiao-jing,ZHANG Qing-huai,ZHANG Chun-ze
Department of Colorectal Surgery, Tianjin Union Medical Center, Tianjin 300121, China.
Abstract:
Objective To explore the differences of nursing effect of different nutritional support ways in elderly patients after radical resection of colon cancer. Methods The clinical data of 100 elderly patients underwent radical resection of colon cancer from December 2018 to December 2020 were retrospectively analyzed. According to the different ways of nutritional support after operation, the patients who received enteral nutrition support after operation were divided into observation group and received parenteral nutrition support after operation were control group. Nutrition index, immune function index, recovery of gastrointestinal function and complications were compared between the two groups. Results The levels of PAB, TRF and ALB in the two groups on the 7th day after operation were significantly higher than those on the 1st day after operation (P <0.05), and those in the observation group were significantly higher than those in the control group (P <0.05). The recovery time of bowel sounds, anal exhaust time and hospitalization time in the observation group were significantly less than those in the control group (P <0.05). There was no significant difference in the incidence of complications between the two groups (P >0.05). On the 7th day after operation, the serum IgG, IgA and IgM levels in the two groups were significantly higher than those in the 1st day after operation (P <0.05), while those in the observation group were significantly higher than those in the control group (P <0.05). On the 7 th day after operation,CD3+, CD4+ and CD4+/CD8+ of T lymphocyte subsets in the two groups were significantly higher than those in the 1 st day after operation(P <0.05). Conclusion Enteral nutrition support nursing has a role in the role of improving the nutritional status of elderly patients, promoting the recovery of gastrointestinal function and enhancing the immune function, which can be used as a nursing plan for early nutrition supplement in elderly patients after colon cancer surgery.
