Exploring the impact of a postoperative nasal diet with dietetic assistance on patient recovery after laryngeal cancer surgery
探索喉癌术后鼻饲饮食与营养科协助对患者康复的影响

摘要

目的 探讨喉癌术后患者鼻饲饮食，与营养科共同协作，促进患者快速康复。方法 采用回顾性分析，将2021年4月-2022年4月40例喉癌术后患者以数字表法分组设为对照组，采用常规的护理干预措施。将2023年5月-2024年5月40例喉癌术后患者为观察组。对观察组患者鼻饲饮食，除了常规的护理干预措施，请营养科给予相应的指导，结合患者的各项检验指标，配以营养餐。比较两组喉癌术后患者手术前后体重下降情况、便秘情况、鼻饲胃管拔除时间、咽瘘的发生、术后平均住院时间。结果 观察组喉癌术后鼻饲饮食体重下降情况、便秘发生情况优于对照组；喉癌术后咽瘘发生率、鼻饲胃管拔除时间、术后平均住院时间少于对照组，P<0.05。结论 喉癌术后患者，与营养科共同协作的鼻饲饮食，有助于改善患者营养状况、减少并发症的发生，缩短住院时间，并提高患者满意度。

Abstract

Objective To explore the nasal diet of postoperative patients with laryngeal cancer, and to work together with the nutrition department to promote the rapid recovery of patients.
Methods Using retrospective analysis, 40 cases of postoperative laryngeal cancer patients from April 2021 to April 2022 were grouped by numerical table method and set as the control group, adopting conventional nursing interventions. The 40 postoperative laryngeal cancer patients from May 2023 to May 2024 were set as the observation group. For the observation group, in addition to the routine nursing interventions, the nutrition department was asked to give the appropriate guidance, combined with the patient's test indexes, with a nutritious meal. Compare the two groups of postoperative laryngeal cancer patients before and after surgery, weight loss, constipation, nasal gastric tube removal time, the occurrence of pharyngeal fistula, and the average length of postoperative hospitalization.
Results The weight loss of nasal feeding diet and the occurrence of constipation in the observation group after laryngeal cancer surgery were better than those in the control group; the incidence of pharyngeal fistula after laryngeal cancer surgery, the time of nasal gastric tube removal, and the average postoperative hospitalization time were less than those in the control group, P<0.05.
Conclusion   In patients with postoperative laryngeal cancer surgery, the nasal feeding diet in collaboration with the nutrition department can help to improve the nutritional status of the patients, reduce the incidence of complications, shorten the hospitalization time, and improve the patient's The results showed that the nasal feeding diet can help improve the nutritional status of patients, reduce complications, shorten hospitalization time, and improve patient satisfaction.