Clinical study of individualized nutritional intervention mode on patients with portal hypertension after Tips operation
个体化营养干预模式对门静脉高压症Tips术后患者的临床研究

摘要

目的 研究个体化营养干预模式对促进门静脉高压症Tips术后患者康复的疗效。方法 本研究以2018年6月-2020年6月期间收治的60例门静脉高压症患者为研究对象，随机分为观察组（30例）和对照组（30例），对照组接受常规护理，观察组在对照组基础上增加个体营养干预：注射营养液、根据患者情况推荐合理流食、根据恢复情况制定营养计划、对患者进行自理能力锻炼。对比患者术后2个月内观察组和对照的营养情况，以及对营养干预满意度评分。结果 观察组营养情况评分和对营养干预满意度评分均高于对照组（P＜0.05）；干预后，观察组患者NB、TP、PLT水平分别为（10.26±1.05）g/d、（68.47±13.79）g/L及（10.41±4.19）×109/L，均显著高于对照组（P＜0.001）。结论 个体化营养干预对 Tips术后患者非常重要，可以促进患者身体康复并且增强患者自理能力。

Abstract

Objective: To study the effect of individualized nutritional intervention mode on the rehabilitation of patients with portal hypertension after Tips operation.
Methods This study took 60 patients with portal hypertension who were treated from June 2018 to June 2020 as the research objects, and were randomly divided into an observation group (30 cases) and a control group (30 cases). The group added individual nutritional interventions on the basis of the control group: injecting nutrient solution, recommending a reasonable liquid diet according to the patient's condition, formulating a nutritional plan according to the recovery situation, and exercising the patient's self-care ability. The nutritional status of the observation group and the control group were compared within 2 months after the operation, as well as the satisfaction score of nutritional intervention.
Results: The nutritional status score and satisfaction score of nutritional intervention in the observation group were higher than those in the control group (P<0.05). After intervention, the levels of NB, TP and PLT in the observation group were (10.26±1.05) g/d, (68.47) ±13.79) g/L and (10.41±4.19) × 109/L, which were significantly higher than those in the control group (P<0.001).
Conclusion  : Individualized nutritional intervention is very important for patients after Tips, which can promote the patient's physical recovery and enhance the patient's self-care ability.