胰腺术后功能性胃排空障碍的观察及护理

Observation and nursing of functional delayed gastric emptying after pancreatic operation

目的：探讨研究功能性胃排空障碍的临床特征和护理对策。方法对10例胰十二指肠切除术术后并发功能性胃排空障碍患者的原因进行分析，总结胃排空障碍发生的时间及特点。结果10例功能性胃排空障碍均发生于术后停止胃肠减压后（6．2±3．1）d，8例为进流食后（4．3±2．3）d。胃排空障碍期间，胃肠减压引流量最低146 ml，最高1540 ml，平均（578±446）ml，患者拔除胃管前1 d引流量平均为（176±168）ml。患者均痊愈出院。结论恰当的饮食指导，尤其是进流食后3～5 d，观察进食情况，科学的营养支持，严密观察胃肠减压的效果，早期发现早期处理等是促进功能性胃排空障碍患者早日康复的关键。

Objective To explore the characteristics and nursing measures of functional delayed gastric emptying （ FDGE） after pancreatic operation .Methods The reasons were analyzed in ten patients with FDGE after pancreas head carcinoma operation , and the time and the characteristics of FDGE were summarized . Results The average time of the occurrence of FDGE in ten patients was （ 6.2 ±3.1 ） d after stopping gastrointestinal decompression , and 8 cases of FDGE occurred in （4.3 ±2.3） d after taking liquid diet .During the period of FDGE , the lowest amount of the gastrointestinal decompression drainage was 146 ml, and the highest was 1 540 ml, and the average was （578 ±446）ml, and the average amount of the drainage was （176 ± 168 ） ml one day before the removal of gastric tube .All patients were recovery and discharged from the hospital . Conclusions The proper diet guidance especially 3 to 5 days after taking liquid diet , observation of the eating ,＆amp;nbsp;scientific nutritional support , closely observation of gastrointestinal decompression drainage , early detection and early treatment and so on are the key points to promote the early recovery of the patients with FDGE .