TÁC ĐỘNG CỦA TĂNG CƯỜNG DINH DƯỠNG QUA ĐƯỜNG RUỘT ĐỐI VỚI SỨC KHỎE BỆNH NHÂN PHẪU THUẬT Ổ BỤNG CÓ CHUẨN BỊ

Abstract

Surgical patients require adequate nutrition to reduce complications and promote wound healing; however, optimal nutrition remains a challenge both theoretically and practically. Objective: To evaluate the impact of enteral nutritional supplementation according to a formula on the patients having planned abdominal surgery at the surgical department of Thai Binh General Hospital and Thai Binh University Medical Center. Methods: A randomized controlled trial with a sample size of 108 patients after abdominal surgery was conducted, divided into two groups: 54 patients in the intervention group supplemented with Leanpro 10+ formula milk (47g/serving mixed in 180ml water, twice daily for 2 months) and 54 patients in the control group with a normal diet. The study period was implemented from January 2023 to October 2024. Data were collected using anthropometric measurements, interview questionnaires, and retrospective review of medical records according to the study indicators and analysing with SPSS 20.0 software. Results: After the intervention, several indicators showed statistically significant differences between the intervention group and the control group (p<0.05), including: shorter hospital stay after surgery (2.7 days shorter); The incidence of red/cracked or wet surgical wounds was lower than 18.5%; gastrointestinal infection was lower than 18.5%; the need for additional antibiotics after surgery was lower than 18.5%; post-operative weight loss was lower than 2.0 kg and BMI reduction was lower than 0.9 kg/m2; post-operative weight loss was lower than 26.0%, malnutrition as assessed by SGA was lower than 27.7%; bloating/indigestion was lower than 24.0%; loss of appetite was lower than 25.9%; difficulty sleeping/sleep disturbances was lower than 28.1%; fatigue was lower than 38.9%; itching was lower than 20.3%; constipation and nausea tended to decrease. Respiratory and urinary tract infections (3.7%) tended to decrease but were not statistically significant (p>0.05); 98.1% of subjects were satisfied or very satisfied with the product. Conclusion: Nutritional supplementing with powdered formula (Leanpro 10+) for abdominal surgery patients reduced infection rates and hospital stay, improved nutrition, digestion, and overall health status.