前馈控制联合分阶段干预在胃癌根治术后肠内营养患者中的应用
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济源市肿瘤医院

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Application of Feedforward Control Combined with Phased Intervention in Postoperative Enteral Nutrition Patients with Gastric Cancer after Radical Gastrectomy
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Jiyuan Cancer Hospital

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    摘要:

    目的 评估前馈控制联合分阶段干预在胃癌根治术后肠内营养患者中的应用效果。 方法 选取 2021 年 10 月至 2023 年 10 月济源市肿瘤医院收治的行胃癌根治术的 84 例胃癌患者,采用随机数字表法分为对照组(n=42)和研究组(n=42)。两组患者术后均接受肠内营养,对照组实验期间实施分阶段干预,研究组实验期间实施前馈控制联合分阶段干预。两组均干预至恢复排气 3 ~ 5d。评估患者的能量摄入情况,检测白蛋白(ALB)、前白蛋白(PAB)水平,评估患者的营养状况,并统计患者的喂养耐受情况。 结果 ①能量摄入情况:干预 2d 和 3d 后,研究组能量摄入量显著高于对照组(P < 0.05)。②营养状况:干预结束,研究组 ALB、 PAB 水平显著高于对照组(P < 0.05)。③喂养耐受情况:研究组腹胀、腹痛发生率低于对照组(P < 0.05),但两组其他喂养不耐受事件发生率(包括胃潴留、腹泻、恶心呕吐)对比差异无统计学意义(P > 0.05)。 结论 胃癌根治术后肠内营养期间应用前馈控制联合分阶段干预效果显著,可改善患者能量摄入 情况和营养状况,减少喂养不耐受情况的发生。

    Abstract:

    Objective To evaluate the application effect of feedforward control combined with phased intervention in postoperative enteral nutrition patients with gastric cancer after radical gastrectomy. Methods A total of 84 gastric cancer patients admitted to Jiyuan Cancer Hospital from October 2021 to October 2023 who were proposed to undergo radical gastric cancer treatment were selected and divided into the control group (n=42) and the study group (n=42) by the randomized numerical table method. Both groups received enteral nutrition after the operation. The control group received phased intervention during this period, while the study group received feedforward control combined with phased intervention. Both groups were intervened until exhaust was restored for 3 to 5 days. The energy intake of the patients was evaluated, the levels of albumin (ALB) and prealbumin (PAB) were detected to evaluate the nutritional status of the patients, and the feeding tolerance of the patients was counted. Results ① Energy intake: After intervention for 2 and 3 days, the energy intake of the study group was significantly higher than that of the control group (P<0.05). ② Nutritional status: After the intervention, the levels of ALB and PAB in the study group were significantly higher than those in the control group (P<0.05). ③ Feeding tolerance: The incidence of abdominal distension and abdominal pain in the study group was lower than that in the control group (P<0.05), but there was no statistically significant difference in the incidence of other feeding intolerance events (including gastric retention, diarrhea, nausea and vomiting) between the two groups (P >0.05). Conclusion The application of feedforward control combined with phased intervention during enteral nutrition after radical gastrectomy for gastric cancer has a significant effect, which can improve the patient’s energy intake and nutritional status, and reduce the occurrence of feeding intolerance.

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孙芳芳.前馈控制联合分阶段干预在胃癌根治术后肠内营养患者中的应用[J].生物医学工程学进展,2025,46(4):570-575

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  • 收稿日期:2025-06-07
  • 最后修改日期:2025-06-11
  • 录用日期:2025-06-13
  • 在线发布日期: 2025-09-16
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