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国际护理学研究

International Journal of Nursing Research

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International Journal of Nursing Research. 2026; 8: (5) ; 10.12208/j.ijnr.20260238 .

The effect of individualized nutritional management on early postoperative rehabilitation in patients with severe pectus excavatum
个性化营养管理对重度漏斗胸术后早期康复的影响

作者： 龚雯 *, 郑少毅, 雷芬, 丘绮晴, 欧怡, 吴菁琳

暨南大学附属广东省第二人民医院胸壁外科研究所 广东广州

*通讯作者： 龚雯,单位：暨南大学附属广东省第二人民医院胸壁外科研究所 广东广州; ；

引用本文: 龚雯, 郑少毅, 雷芬, 丘绮晴, 欧怡, 吴菁琳 个性化营养管理对重度漏斗胸术后早期康复的影响[J]. 国际护理学研究, 2026; 8: (5) : 49-54.
Published: 2026/5/28 17:35:37

摘要

目的 探讨个性化营养管理（individualized nutritional management，INM）对重度漏斗胸（severe pectus excavatum，SPE）术后早期康复的影响。方法 采用回顾性分析的方法，从2023年5月到2024年8月在我院接受微创手术治疗的重度漏斗胸患者中，通过纳入和排除标准，筛选出98例患者为研究对象，以常规营养管理为对照组，个性化营养管理为观察组。比较两组患者术后切口愈合情况、术后并发症发生率、NRS疼痛评分、术后首次下床活动时间、术后肛门排气时间、引流管留置时间、术后住院时间。结果 共纳入对照组48例，观察组50例。观察组术后第7天ASEPSIS评分低于对照组（P<0.05），观察组切口甲级愈合率高于对照组（P<0.05），观察组术后并发症发生率低于对照组（P<0.05），术后首次下床活动时间、术后肛门排气时间、引流管留置时间观察组均短于对照组（P<0.05）。结论 个性化营养管理有利于促进重度漏斗胸患者术后伤口的愈合，同时降低患者术后并发症的发生率，并缩短患者术后首次下床活动时间、术后肛门排气时间及引流管留置时间，有助于重度漏斗胸患者术后的早期康复。

关键词： 个性化营养管理；重度漏斗胸；术后早期康复

Abstract

Objective To investigate the effect of individualized nutritional management (INM) on early postoperative recovery in patients with severe pectus excavatum (SPE).
Methods A retrospective analysis was conducted on 98 patients with severe pectus excavatum who underwent minimally invasive surgery in our hospital from May 2023 to August 2024. Based on inclusion and exclusion criteria, routine nutritional management was assigned to the control group, while individualized nutritional management was assigned to the observation group. The two groups were compared in terms of postoperative wound healing, incidence of postoperative complications, NRS pain scores, time to first ambulation, time to first flatus, duration of drainage tube placement, and length of hospital stay.
Results A total of 48 patients were included in the control group, and 50 patients in the observation group. The observation group showed a lower ASEPSIS score on day 7 postoperatively compared to the control group (P<0.05), a higher rate of Grade A wound healing (P<0.05), a lower incidence of postoperative complications (P<0.05), and shorter times to first ambulation, first flatus, and drainage tube placement (P<0.05).
Conclusion   INM promotes wound healing in SPE patients, reduces the incidence of postoperative complications, and shortens the time to first ambulation, first flatus, and drainage tube placement, thereby facilitating early postoperative recovery in SPE patients.

Key words： Individualized nutritional management; Severe pectus excavatum; Early postoperative rehabilitation

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