Feasibility of early oral nutrition for gastric cancer patients after total gastrectomy based on propensity score matching
10.3760/cma.j.cn115682-20220620-02959
- VernacularTitle:基于倾向性评分匹配的胃癌患者全胃切除术后早期经口营养的可行性研究
- Author:
Yanyan ZHAN
1
;
Weina GU
;
Zhifang TAO
;
Yan XU
Author Information
1. 江苏省苏北人民医院肿瘤科，扬州 225001
- Keywords:
Enhanced recovery after surgery;
Early oral nutrition;
Stomach neoplasms;
Total gastrectomy;
Propensity score matching
- From:
Chinese Journal of Modern Nursing
2023;29(18):2493-2497
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the feasibility of early oral nutrition for gastric cancer patients after total gastrectomy based on propensity score matching.Methods:Using convenience sampling method, a retrospective analysis was conducted on the medical records of 755 patients who underwent total gastrectomy for gastric cancer at Jiangsu Subei People's Hospital from 2012 to 2020. A total of 454 patients who received early oral nutrition after surgery were included in the study group, while 301 patients who received conventional nutrition were included in the control group. The study group patients began eating orally on the first day after surgery, while the control group patients began eating orally after anal exhaust. The propensity score matching method was used to balance confounding factors between two groups.Results:A total of 203 pairs (406 cases) of patients were matched. After matching, there was no statistically significant difference in general data between the two groups ( P>0.05). The study group had lower dietary intake time, first anal exhaust time, hospital stay, incidence of abdominal infection, and incidence of anastomotic fistula compared to the control group, with statistically significant differences ( P<0.05) . Conclusions:Early oral nutrition for gastric cancer patients after total gastrectomy can promote intestinal function recovery, shorten hospital stay, and do not increase the risk of complications, including anastomotic fistula. It has the same acceptable tolerance as conventional nutrition, indicating that early oral nutrition after total gastrectomy is safe and feasible.
