胃癌患者术后早期肠内混合性营养的护理

Nursing care of post-operation early enteral mixed nutrition in patients with gastric cancer

目的探讨胃癌患者术后给予早期肠内混合性营养的护理措施,分析该护理方案的临床效果。方法选取2015年2月~2016年2月就诊于我院消化内科的胃癌患者共64例,将其随机分为观察组与对照组,各32例,观察组应用肠内营养,对照组应用肠外营养,将两组患者手术前后各营养指标情况、住院时间、术后通气时间及并发症发生情况进行对比分析。结果术后两组患者的体质量指数、血红白蛋白、白蛋白与血清白蛋白指标均有所提高,但观察组各指标显著高于对照组,差异有统计学意义（P〈0.05）;观察组的住院时间与术后排便通气时间分别为（13.4±4.1）d、（3.0±1.2）d,对照组分别为（18.5±5.8）d、（6.9±1.4）d,差异有统计学意义（P〈0.05）;对照组中并发症患者13例（40.63%）,观察组3例（9.38%）,差异有统计学意义（P〈0.05）。结论胃癌患者在术后应用早期肠内混合性营养的护理措施相比于肠外营养在一定程度上具有显著的优势,利于患者的预后,建议广泛应用。

Objective To explore the clinical effect of application of the nursing program of post-operation early enteral mixed nutrition in patients with gastric cancer.Methods A total of 64 cases of gastric cancer patients who had been treated in department of digestive internal medicine in the hospital from February 2015 to February 2016 were randomly divided into observation group and control group with 32 cases in each group.Observed group was treated with enteral nutrition;while,control group was treated with parenteral nutrition.The postoperative and preoperative nutrition indicators,hospitalization stay,postoperative ventilation time and complication incidence of two groups were compared and analyzed.Results The postoperative body mass index,blood albumin,albumin and serum albumin index of two groups were increasing in comparison with the preoperative indexes;while,each index in observation group was significantly higher than that of control group,with statistically significant difference（P〈0.05）.The hospitalization stay and postoperative defecation ventilation time of observation group and control group were（13.4±4.1） d and（3.0±1.2） d versus（18.5±5.8） d and（6.9 ±1.4） d respectively,with statistical significance（P〈0.05）.The complication incidence rate of control group was 40.63%（13 cases） versus 9.38%（3 cases） in observation group with statistical significance（P〈0.05）.Conclusion Application of postoperative early enteral mixed nutrition in patients with gastric cancer shows a significant advantage over parenteral nutrition in a certain degree,which is conducive to the prognosis of patients and is recommended to be widely used.