摘要
目的探讨肺癌术后患者肠内营养致胃潴留的影响因素。方法选取2019年1月至2020年1月该院收治的行手术治疗并给予肠内营养患者784例,收集其资料,分析胃潴留发生情况,动态观察26例肺癌术后患者肠鸣音变化情况,分析肺癌术后患者肠内营养致胃潴留的影响因素,采用多因素logistic回归模型分析肺癌术后患者肠内营养致胃潴留独立危险因素。结果784例患者中发生胃潴留26例,发生率为3.3%;动态观察26例胃潴留患者肠鸣音,肠鸣音逐渐增强者3例(11.5%),未增强者23例(88.5%);肺癌术后患者肠内营养致胃潴留的独立危险因素为肠鸣音减弱、高血糖、便秘、低血钾、机械通气等。结论肺癌术后护士需格外关注发生胃潴留的高危人群,积极预防胃潴留的发生,及时采取有效措施清除危险因素。
Objective To investigate the factors influencing postoperative gastric retention in patients with lung cancer after enteral nutrition.Methods A total of 784 patients who underwent operation and enteral nutrition in January 2019-2020 January were collected.Data were collected to analyze the incidence of gastric retention.The changes of bowel sounds were observed in 26 patients after lung cancer operation.The influencing factors of intestinal retention after gastric cancer were analyzed.Multivariate Logistic analysis was used to analyze the independent risk factors of gastric retention after enteral nutrition in patients with lung cancer.Results 26 cases of gastric retention occurred in 784 patients after lung cancer the incidence rate was 3.3%.The bowel sounds of 26 patients were observed dynamically.The proportion of bowel sounds increased gradually in non gastric retention group,and the proportion of bowel sounds in non gastric retention group was not lower than that in gastric retention group(P<0.05).Conclusion The nursing staff of lung cancer should pay special attention to high-risk groups,prevent gastric retention and take effective measures to eliminate risk factors.
作者
蒋艳华
周和玲
罗珊
陈艳丽
江静敏
JIANG Yanhua;ZHOU Heling;LUO Shan;CHEN Yanli;JIANG Jingmin(Sichuan Cancer Hospital,Chengdu,Sichuan 610041,China)
出处
《重庆医学》
CAS
2021年第S02期46-48,共3页
Chongqing medicine
基金
四川省医学会2019年度科研项目(2019YFH0070)。
关键词
胃潴留
机械通气
肠内营养
肺癌
肠鸣音
Gastric retention
Mechanical ventilation
Enteral nutrition
Lung cancer
Bowel sounds
