摘要目的:探讨"H2H"营养管理模式在食管癌居家鼻饲患者中的应用效果。方法:采用便利抽样法选择2019年6月—2020年3月青岛市中心（肿瘤）医院的86例食管癌居家鼻饲喂养患者，根据随机数字表法分为对照组和观察组，各43例。对照组采用常规管理，观察组在对照组的基础上实施"H2H"营养管理模式，为期4周。比较两组的营养指标及相关并发症发生率的差异。结果:干预后观察组的血红蛋白、血清白蛋白水平高于对照组，且较本组干预前升高，差异有统计学意义（ P<0.05）；干预后观察组的主观整体营养评估量表（PG-SGA）评估的A、B、C级例数分别为22、18、3例，对照组分别为7、28、8例，两组比较差异有统计学意义（ P<0.05）。观察组、对照组的总并发症发生率分别为16.28%（7/43）、46.51%（20/43），两组比较差异有统计学意义（χ 2=9.124， P<0.05）。 结论:"H2H"营养管理模式可以提高食管癌居家鼻饲患者的血红蛋白及血清白蛋白水平，改善营养状况，降低鼻饲喂养相关并发症的发生率。

abstractsObjective:To explore the application effect of Hospital to Home (H2H) nutrition management mode in patients with esophageal cancer undergoing nasal feeding at home.Methods:From June 2019 to March 2020, a total of 86 patients with esophageal cancer who underwent nasal feeding at home in Qingdao Central (Tumor) Hospital were selected by the convenient sampling method. According to the random number table method, they were divided into the control group and the observation group, with 43 cases in each group. The control group adopted routine management, while the observation group implemented "H2H" nutrition management mode on the basis of the control group for a period of 4 weeks. The differences in nutritional indexes and incidence of related complications were compared between the two groups.Results:After intervention, the levels of hemoglobin and serum albumin in the observation group were higher than those in the control group and higher than those before intervention, and the differences were statistically significant ( P<0.05) . After the intervention, the number of A, B, and C grades of Patient-Generated Subjective Global Assessment, in the observation group were respectively 22, 18 and 3 cases, and those in the control group were respectively 7, 28 and 8 cases, and the differences between two groups were statistically significant ( P<0.05) . The total incidence of complications in the observation group and the control group were 16.28% (7/43) and 46.51% (20/43) , respectively, and the difference between the two groups was statistically significant (χ 2=9.124, P<0.05) . Conclusions:The "H2H" nutrition management mode can increase the hemoglobin and serum albumin levels of patients with esophageal cancer undergoing nasal feeding at home, improve the nutritional status and reduce the incidence of nasal feeding-related complications.