摘要
[目的]观察胃癌患者术后早期应用肠内营养支持疗效。[方法]对57例胃癌根治术患者早期肠内营养,患者取半卧位,营养液含有人体必需的营养物质,具有很高的能量。术后第1d输注5%葡萄糖盐水500mL,如无不适,则次日营养液500mL,30～40mL/h,第2d管喂总量为1000mL,60～80mL/h,第3d病人适应情况,增加营养液量,20～120mL/h。连续使用7d,肠蠕动恢复,肛门有排气,可除胃管,第5d后进食流质食物,停止静脉输液,第8d将营养管拔除,可以完全经口进食。连续护理15d为1疗程。观测临床症状、不良反应。连续护理2疗程,判定疗效。[结果]显效40例,有效10例,无效7例。总有效率87.78%。[结论]胃癌根治术后早期对患者实施肠内营养支持可以改善患者营养状况,促进肠功能恢复,有效提高患者生命质量。值得推广。
[Objective]Observed in patients with gastric cancer early postoperative enteral nutrition support care efficacy.[Methods]Early enteral nutrition in patients with 57 cases of gastric cancer radical,patients in semi recumbent position,the nutrient solution contains essential nutrients,has the very high energy.1day after infusion of 5% glucose saline water 500mL,if no discomfort,nutrient solution the next day 500 mL,30 to 40 ml / h,2day tube feeding amount is 1000mL,60 ～ 80mL / h,3day patient to adapt to the situation,increase the amount of nutrient solution,20 ～ 120mL / h.Continuous use 7day,enterocinesia recovery,anal exhaust,but in addition to the stomach tube,after the 5day eat liquid food,stop intravenous fluids,8day pull out nutrition tube,can completely through the mouth to eat.15day continuous treatment for 1 course of treatment.Observation of clinical symptoms and adverse reactions.2 courses of treatment continuously,judge curative effect.[Results]40 cases had marked effect,10 cases were effective,7 had no effect.Total efficiency 87.78%.[Conclusion]Gastric cancer early postoperative enteral nutrition support for patients can improve the nutritional status of patients,to promote the recovery of intestinal function,and effectively improve the quality of patients' lives.Is worth promoting.
出处
《实用中医内科杂志》
2013年第1X期16-17,共2页
Journal of Practical Traditional Chinese Internal Medicine
关键词
胃癌根治术
心理护理
健康教育
护理疗效
Gastric cancer radical
Psychological care
Health education
Nursing curative effect
