胃癌患者术后早期肠内营养支持及护理体会

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摘要    [摘要 ] 目的 研究胃癌术后早期肠内营养护理,改善病人术后早期的营养状况提供依据。方法 利用分组法,将患者随机分成早期肠内营养( EEN)组和未施行肠内营养( N-EEN)组( n=38), EEN组于胃癌术后 24 h经术中放置的鼻空肠管应用能全进行早期肠内营养, N-EEN组为术后静脉营养,术前、术后 7 d测定血清白蛋白、血清前白蛋白和体重、记录术后肠蠕动、排气时间和术后并发症。结果 EEN组和 N-EEN组术后体重、胃肠功能恢复时间、血清前白蛋白和白蛋白的变化差异有统计学意义( P<0.05)。结论 早期肠内营养对减轻应激、减少术后并发症,促进切口愈合,缩短住院时间,降低医疗费用有重要意义。     [关键词 ] 护士;胃癌术后;早期肠内营养;护理体会     [Abstract] Objective To study the early postoperative enteral nutrition nursing of patients with gastric cancer, and to provide the basis for improving the early postoperative nutrition. Methods patients were randomly divided into early enteral nutrition (EEN) group and no enteral nutrition (n-een) group (n = 38). The application of nasojejunostomy tube placed in the en group 24 hours after gastric cancer operation could provide early enteral nutrition. The n-een group was vein nutrition before and after operation D serum albumin, prealbumin and body weight were measured, peristalsis, exhaust time and postoperative complications were recorded. Results there were significant differences in body weight, recovery time of gastrointestinal function, serum prealbumin and albumin between een group and n-een group (P < 0.05). Conclusion early enteral nutrition is of great significance to relieve stress, reduce postoperative complications, promote incision healing, shorten hospital stay and reduce medical costs.
出处 《世界复合医学》 2020年8期
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出版日期 2020年09月14日(中国期刊网平台首次上网日期,不代表论文的发表时间)
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