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目的:观察个性化营养指导在胃癌伴发糖尿病术后处理中的应用效果。方法:选择胃癌伴发糖尿病56例,随机分为观察组和对照组各28例。两组均接受手术治疗,对照组术后采用常规营养指导,给予普通肠内营养制剂;观察组采用个性化营养指导,并使用专用型肠内营养制剂。比较两组处理后血糖水平,血清总蛋白、清蛋白水平,疗效及术后不良反应发生情况。结果:两组术前血糖水平差异不显著(P>0.05),术后7天观察组血糖水平显著低于对照组(P<0.05);两组术前血清总蛋白、血清清蛋白水平均差异不显著(P>0.05),术后7天观察组血清总蛋白、血清清蛋白水平均显著高于对照组(P<0.05);观察组总有效率92.9%,显著高于对照组的71.4%(P<0.05);观察组术后并发症发生率为3.6%,显著低于对照组的25.0%(P<0.05)。结论:胃癌伴发糖尿病患者手术治疗后采用个性化的营养指导处理,有利于促进患者康复。
Objective: To observe the effect of personalized nutrition guidance in postoperative treatment of gastric cancer with diabetes mellitus. Methods: 56 cases of gastric cancer with diabetes mellitus were randomly divided into observation group and control group, 28 cases each. The two groups were treated by surgery. The control group was given routine nutrition guidance after operation, and ordinary enteral nutrition was given. The observation group was given personalized nutrition guidance and the special enteral nutrition preparation. Blood glucose, serum total protein, albumin, curative effect and postoperative adverse reactions were compared between the two groups. Results: There was no significant difference in preoperative blood glucose level between the two groups (P> 0.05). The blood glucose level of the observation group was significantly lower than that of the control group on the 7th day after operation (P <0.05). The preoperative serum total protein and serum albumin levels were significantly different (P <0.05). The levels of serum total protein and serum albumin in the observation group were significantly higher than those in the control group on the 7th day after operation (P <0.05). The total effective rate in the observation group was 92.9%, significantly higher than that in the control group (71.4% (P <0.05). The incidence of postoperative complications in the observation group was 3.6%, which was significantly lower than that in the control group (25.0%, P <0.05). Conclusion: The treatment of gastric cancer with diabetes patients with personalized nutrition guidance, is conducive to promoting patient rehabilitation.