首页|期刊导航|中国医学创新|精细化营养联合渐进式主动呼吸训练在食管癌手术患者中的应用

精细化营养联合渐进式主动呼吸训练在食管癌手术患者中的应用OA

Application of Refined Nutrition Combined with Progressive Active Breathing Training in Patients with Esophageal Cancer Surgery

中文摘要英文摘要

目的:探讨精细化营养联合渐进式主动呼吸训练在食管癌手术患者中的应用效果.方法:回顾性分析中山大学肿瘤防治中心 2023 年 4 月—2025 年 4 月收治的 80 例食管癌手术患者的临床资料,根据护理方案的不同分为两组,各 40 例.对照组给予常规护理,观察组在常规护理基础上给予精细化营养联合渐进式主动呼吸训练,两组均干预至术后 2 周.比较两组的营养状况、免疫功能、肺功能及并发症发生率.结果:术后 2 周,观察组血清白蛋白(ALB)、前白蛋白(PA)、免疫球蛋白 M(IgM)、免疫球蛋白 G(IgG)、免疫球蛋白 A(IgA)、第 1 秒用力呼气容积(FEV1)、用力肺活量(FVC)水平均高于对照组(P<0.05);观察组术后并发症发生率低于对照组(P<0.05).结论:精细化营养联合渐进式主动呼吸训练,可改善食管癌患者术后营养状况,增强其免疫功能,降低术后并发症发生风险,减轻肺功能损伤.

Objective:To explore the application effect of refined nutrition combined with progressive active breathing training in patients with esophageal cancer surgery.Method:The clinical data of 80 patients who underwent esophageal cancer surgery and were admitted to Sun Yat-sen University Cancer Center from April 2023 to April 2025 were retrospectively analyzed.They were divided into two groups according to different nursing plans,with 40 cases in each group.The control group was given routine nursing,while the observation group was given refined nutrition combined with progressive active breathing training on the basis of routine nursing.Both groups were intervened until 2 weeks after the operation.The nutritional status,immune function,pulmonary function and incidence of complications of the two groups were compared.Result:Two weeks after the operation,the serum albumin(ALB),prealbumin(PA),immunoglobulin M(IgM),immunoglobulin G(IgG),immunoglobulin A(IgA),forced expiratory volume in one second(FEV1),and forced vital capacity(FVC)in the observation group were all higher than those in the control group(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion:The combination of refined nutrition and progressive active breathing training can improve the postoperative nutritional status of patients with esophageal cancer,enhance their immune function,reduce the risk of postoperative complications,and alleviate their pulmonary function impairment.

郑碧莹

中山大学肿瘤防治中心ICU 广东 广州 510060

医药卫生

精细化营养渐进式主动呼吸训练食管癌营养状况并发症肺功能

Refined nutritionProgressive active breathing trainingEsophageal cancerNutritional statusComplicationsPulmonary function

《中国医学创新》 2026 (23)

97-101,5

10.3969/j.issn.1674-4985.2026.23.021

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