Objective:To construct and evaluate the effect of precise oral nutrition guidance program for colorectal cancer patients with accelerated rehabilitation after operation.Methods:This study was a quasi experimental study. A total of 116 patients with colorectal cancer from department of Colorectal Surgery, Jiangsu Cancer Hospital from March to Deamber, 2021 were selected by convenience sampling method. They were divided into two groups according to their admission time, the experimental group (58 cases), was given precise oral nutrition guidance program after colorectal cancer surgery based. In the control group, 58 cases were treated with the conventional dietary guidance for rapid rehabilitation. The gastrointestinal tolerance rate, the compliance rate of oral nutritional supplements, the first defecation time after operation, albumin, total albumin, prealbumin and other nutritional indexes were compared between the two groups before and after intervention.Results:Finally, 111 cases were included, induding 56 in the experimental group and 55 in the control group. The compliance rate of oral nutritional supplements after intervention in the experimental group was 73.2% (41/56), higher than that in the control group 40.0%(22/55), and the difference between the two groups was statistically significant ( χ2 = 12.47, P<0.05). The first defecation time after operation in the experimental group was (29.51 ± 5.52) h, while in the control group was (61.48 ± 8.39) h, the difference between the two groups was significant ( t = -12.06, P<0.05). The postoperative enteral nutrition tolerance rate of the experimental group was 91.1% (51/56), which was higher than the 69.1%(38/55) in the control group, the difference between the two groups was statistically significant ( χ2 = 8.44, P<0.05). The serum total protein, albumin and prealbumin levels of the experimental group at discharge were (66.56 ± 5.15), (46.78 ± 7.62) g/L and (276.07 ± 53.57) mg/L, compared with the (60.27 ± 4.37), (39.12 ± 6.41) g/L and (230.14 ± 44.58) mg/L in the control group, the differences were statistically significant ( t = 6.66, 5.02, 4.91, all P<0.05). Conclusions:The implementation of precise oral nutrition guidance program is conducive to guiding the clinical practice of oral nutritional supplements in patients with colorectal cancer after surgery, improving patient compliance, reducing gastrointestinal intolerance, promoting intestinal function recovery, and improving nutritional status of patients.

目的 探讨基于量化评估策略护理表对结肠癌手术患者术后康复的影响.方法 随机选取2017年1月1日-2019年10月31日于某院行结肠癌根治术的患者100例作为研究对象,采用随机数字表法分为对照组和观察组,每组各50例.对照组实施常规护理,观察组实施基于量化评估策略护理表的干预.比较2组患者术后康复指标、心理状态、生活质量.结果 观察组首次排气时间(1.84±0.50)天、首次排便时间(2.30±0.54)天、首次下床时间(16.96±5.35)天及总住院时间(9.62±0.64)天均显著低于对照组(2.46±0.63)、(3.57±0.56)、(22.13±5.28)、(12.27±0.71)天(P＜0.05);干预后,观察组抑郁自评量表评分(28.52±5.48)、焦虑自评量表评分(32.65±4.49)显著低于对照组(45.18±5.33)、(42.28±4.47)(P＜0.05),生活质量量表评分(78.53±7.24)显著高于对照组(70.22±7.08) (P＜0.05).结论 量化评估策略护理能够促进结肠癌术后患者恢复,改善负性情绪,最终改善了患者的生活质量.

目的:观察青陈合剂治疗小儿非特异性功能性腹痛脾虚气滞证的临床疗效.方法:选取2019年1～12月收治的非特异性功能性腹痛脾虚气滞证患儿90例,随机分为两组各45例,对照组给予复方嗜酸乳杆菌治疗,治疗组给予青陈合剂治疗,均治疗2周.对比两组临床疗效,治疗前后中医证候积分,治疗后主要症状、次要症状改善情况.结果:治疗组总有效率为86.7％,高于对照组的64.4％(P<0.05);治疗组治疗后中医证候积分低于治疗前和对照组(P<0.05);治疗组腹痛发生频率低于对照组(P<0.05),腹痛消失时间短于对照组(P<0.05),复发率低于对照组(P<0.05).治疗组腹胀、呕吐、食欲不振、大便不调等次要症状改善时间均短于对照组(P<0.05).结论:采用青陈合剂治疗脾虚气滞型非特异性功能性腹痛患儿,可明显减轻患儿的腹痛症状,减少腹痛的复发,疗效显著.

目的：评价藻酸盐敷料对结肠造口出血的止血效果和总结护理方法。方法对26例直肠癌及14例结肠癌术后有结肠造口出血的患者在常规护理的基础上加用藻酸盐敷料，观察其止血效果并分析护理要点。结果40例患者术后造口出血于3日内停止，造口血运良好，术后10日顺利拆线。结论藻酸盐敷料应用于结肠造口出血，止血快且效果明显，并可促进伤口愈合，减轻患者的经济负担和心理负担，减少护士的工作量，值得临床推广。

目的了解行全胃切除术后肠内营养患者的生活质量状况,比较不同营养方式对术后患者生活质量的影响。方法采用欧洲癌症研究与治疗组织研制的生活质量核心调查问卷中文版(QLQ-C30)对100例全胃切除术后患者(其中试验组50例术后行肠内营养,对照组50例术后行肠外营养)行生活质量问卷调查,并对比实验室检查结果进行分析。结果行肠内营养者躯体功能、角色功能、情绪功能、疲乏、恶心呕吐、疼痛、失眠、食欲散失、便秘、总体生活质量评分及术后7d实验室检查结果与肠外营养者比较有统计学差异(P<0.05)。结论全胃切除术后行肠内营养患者生活质量明显高于行肠外营养的患者,术后采用肠内营养优于肠外营养。