腹部肿瘤术后早期肠内营养31例临床护理

Clinical nursing care of 31 patients with early enteral nutrition after abdominal tumor surgery

目的:探讨腹部肿瘤患者术后早期肠内营养的疗效及护理方法。方法:将62例腹部肿瘤患者随机分为观察组和对照组各31例,对照组患者术后行全静脉营养,肠蠕动恢复后开始进食;观察组患者行早期肠内营养。比较两组患者术后肛门排气排便时间、住院时间、切口愈合、并发症发生等相关情况。结果:与对照组比较,观察组患者术后肛门排气排便时间更早、住院日缩短、切口愈合情况好、并发症减少(P<0.05)。结论:腹部肿瘤患者术后早期行肠内营养支持能明显改善肠功能、缩短住院日、减少并发症,促进切口愈合,是一种切实可行、安全有效的营养支持方法。

Objective： To investigate the effect of early enteral nutrition and methods of nursing care for the patients after abdominal tumor surgery. Methods： 62 patients with abdominal tumor surgery were randomly divided into the observation group and the control group （ 31 cases in each group ）. The patients in the control group received total parenteral nutrition and began eating after recovery of intestinal peristalsis;the patients in the observation group were given early enteral nutrition. The postoperative anal exsufflation and defecation time, hospitalization time, wound healing time and occurrence of complications were compared between the two groups. Results： Compared with the control group,the postoperative anal exsufflation and defecation time was earlier, hospitalization time was shorter,wound healing was better and occurrence of complications was less in the observation group { P 〈 0.05 ）. Conclusion ： The early enteral nutrition support in the nursing care of the patients after abdominal tumor surgery can significantly improve the intestinal function, shorten hospitalization days, re- duce complications and promote wound healing. It is regarded as a feasible, safe and effective nutritional support method.