三腔鼻空肠喂养管在胃癌患者术后早期肠内营养中的应用及护理

Application and Nursing Care of h ree-lumen Gastrojejunal Tube for Enteral Nutrition in Postoperative Patients with Gastric Carcinoma

目的对三腔鼻空肠喂养管在胃癌患者术后肠内营养中的应用及护理方法进行总结。方法对2012年6月-9月收治的60例胃癌术后患者,通过安置三腔鼻空肠喂养管予以早期肠内营养(EN),并就喂养管的固定、冲洗、堵管处置及营养制剂温度、输注速度的选择控制等护理措施进行归纳。结果 60例患者经EN,出院时其白蛋白水平为(34.58±5.29)g/L,血红蛋白水平为(113.90±19.12)g/L,营养风险筛查2002评分达(3.47±0.71)分,营养状况明显得以改善。结论术后使用三腔喂养管行肠内营养,有助于胃癌患者营养状况改善,积极有效地护理措施是促进患者早日康复的重要因素。

Objective To summarize the experiences of application and nursing measures of three-lumen gastrojejunal tube for enteral nutrition in postoperative patients with gastric carcinoma. Methods We analyzed the clinical data of 60 gastric cancer patients undergoing treatment with three-lumen gastrojejunal tube after surgery between June and September 2012. And then we summarized the nursing experiences including fixation and flushing of the tube, plugging disposal, management of the nutrition temperature, and infusion speed choice. Results Postoperative nutritional status of all the 60 patients were improved. Their plasma albumin level reached （34.58 ±5.29） g/L, plasma hemoglobin reached the level of （113.90 ~ 19.12） g/L, and score of nutrition risk screening 2002 reached 3.47 ±0.71. Meanwhile, earlier recovery of enteric function made shorter average hospitalization. Decreasing use of parenteral nutrition avoided related complications. Conclusion Application of the three-lumen gastrojejunal tube in postoperative patients with gastric carcinoma for enteral nutrition can improve their nutritional status and promote their recovery at an early time.