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食管癌术后患者早期肠内营养的护理干预

Nursing intervention in patients with early enteral nutrition after esophagectomy

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【作者】 杨庆玲彭小苑

【Author】 YANG Qing-ling;PENG Xiao-yuan;Department of Nutrition,Tumour Hospital Affiliated of Guangzhou Medical University in Guangdong Province;Department of Nursing,the Third Traditional Chinese Medicine Hospital Affiliated of Guangzhou University in Guangdong Province;

【机构】 广州医科大学附属肿瘤医院营养科广州中医药大学第三附属医院护理部

【摘要】 目的探讨食管癌术后患者早期肠内营养的护理干预的效果,为临床护理提供参考依据。方法以113例食管癌术后患者作为观察对象,随机分为两组,对照组57例,实验组56例。对照组实施静脉营养护理,实验组实施早期肠内营养护理,观察比较两组患者并发症的发生率、肠道功能恢复时间及住院时间。结果在并发症的发生率方面,实验组肺内感染率、腹泻率、静脉炎率、心律失常率及切口感染率分别为1.8%、0、5.4%、10.7%、1.8%;对照组分别8.8%、7.0%、15.8%、22.8%、5.3%;实验组并发症发生率均低于对照组;在住院时间方面,实验组(13.42±1.63)d短于对照组(18.75±1.49)d;在肠道功能恢复时间方面,实验组(55.26±8.61)h短于对照组(98.59±9.87)h。两组患者三方面的比较,差异有统计学意义(P<0.05)。结论对食管癌术后患者实施早期肠内营养护理,能够有效降低并发症的发生率,缩短肠道功能恢复时间以及住院时间,值得推广。

【Abstract】 Objective To explore the effects of early enteral nutrition nursing intervention in postoperative esophageal,and to provide reference basis for clinical nursing. Methods 113 postoperative esophageal patients were selected as study object and were randomly divided into two groups.57 cases were in control group and 56 cases were in experimental group.Patients in control group were given intravenous nutrition nursing and patients in experimental group were given early enteral nutrition nursing.The incidence rate of complications,intestinal function recovery time and hospital stay in two groups were compared. Results In the aspect of incidence rate of complications,the lungs infection rates,diarrhea rate,rate of phlebitis,rate of arrhythmia and incision infection rate in experimental group were respectively 1.8%,0, 5.4%, 10.7% and 1.8%,which were respectively 8.8%, 7.0%, 15.8%, 22.8% and 5.3% in control group.The incidence rate of complications in experimental group was lower than that of control group when compared between two groups.In the aspect of hospital stay, the experimental group was(13.42±1.63) d,shorter than that was(18.75±1.49) d in control group;In the aspect of intestinal function recovery time,the experimental group was(55.26 ±8.61) h, shorter than that was(98.59±9.87) h in control group.The differences were statistical significance in the three aspects(P<0.05). Conclusion Conducting early enteral nutrition nursing in postoperative esophageal patients can decreases the incidence rate of complications effectively,shorten intestinal function recovery time and hospital stay and is worth to popularize.

  • 【文献出处】 中国当代医药 ,China Modern Medicine , 编辑部邮箱 ,2016年09期
  • 【分类号】R473.73
  • 【被引频次】2
  • 【下载频次】95
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