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胃癌术后患者早期肠内营养的护理

Nursing of early enteral nutritional support for patients with gastric carcinoma after operation

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【作者】 李桂英张德华

【Author】 LI Gui-ying,ZHANG De-hua(Suining People’s Hospital,Suining,Sichuan 629000,China)

【机构】 遂宁市人民医院

【摘要】 目的:探讨胃癌术后早期肠内营养的临床效果及护理措施。方法:术晨置胃管时同时置入胃肠营养管于胃内,术中医生将营养管置于吻合口下方20~30cm处,术后输入能全力4~6天并给予相应护理。结果:本组146例营养支持4~6天,出现轻度腹痛、腹胀12例,7例较术前体重减轻,切口一期愈合,平均住院14.5天。结论:早期肠内营养有利于胃癌术后患者的康复,耐心细致的护理是保证营养计划的顺利完成,也是减少并发症的关键。

【Abstract】 Objective:To investigate the clinical outcome and the nursing intervention of early enteral nutritional support for the pa-tients with gastric carcinoma after operation.Methods:The surgeon placed jejunum nutrient catheter about 20~30 centimeters under anastomotic stoma during the operation which gastric canal was placed.The medical personnel infused Intacted Protein Enteral Nutrition for 4~6 d by the jejunum nutrient catheter and provided these patients with necessary nursing care after operation.Results:Among 146 patients with nutritional support,there were 12 patients occurring slightly abdominal pain and abdominal distension,and 5 weight loss than preoperation.All patients stayed in hospital for average 14.5 d,and their operative incision were primary healing.Conclusion:Early enteral nutritional support is advantageous for recovery of patients with gastric carcinoma after operation,and careful nusing is a key for finishing nutrition planning and reducing complication.

【关键词】 胃癌手术肠内营养护理
【Key words】 Gastric carcinomaOperationEnteral nutritionNursing care
  • 【文献出处】 现代医药卫生 ,Modern Medicine & Health , 编辑部邮箱 ,2009年07期
  • 【分类号】R473.73
  • 【被引频次】1
  • 【下载频次】102
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