胃癌术后早期肠内营养及护理

Early Enteral Nutrition and Nursing in Patients With Gastric Cancer After Operation

目的总结我院胃癌术后患者实施早期肠内营养的护理体会及经验。方法选取我科2013年1月-2016年6月收治的胃癌患者47例,术后24 h开始予肠内营养支持,予加强心理护理、鼻肠管护理、营养液管理、营养液输注护理及并发症的观察与护理。结果 47例患者在肠内营养治疗期间,发生鼻肠管脱落1例,治疗时间少于3天。1例患者术后第3天发生鼻肠管堵塞,拔出喂养管。其余45例患者均按照计划顺利完成肠内营养支持至拔出喂养管,输入时间为7-10天。其中6例患者出现轻度腹痛不适或腹胀,5例患者发生腹泻,无吻合口瘘、吸入性肺炎、鼻咽喉部和食管机械性损伤及代谢性并发症等发生。结论加强胃癌术后早期肠内营养的护理对降低术后并发症,促进患者早日康复具有重要作用。

Objective To summarize the nursing experience and experience of early enteral nutrition in patients with gastric cancer after operation in our hospital. Methods 47 patients with gastric cancer in our hospital from January 2013 to June 2016, 24 h after operation for enteral nutrition support, to strengthen the psychological nursing, observation and nursing of nasal tube nursing, nutrition management, nutrition infusion nursing and complications. Results 47 cases of patients during the treatment of enteral nutrition in the nasal bowel, 1 cases of loss, treatment time less than 3 days. In 1 cases in third days after the occurrence of nasointestinal tube obstruction, pull out the feeding tube. The rest of the 45 patients were successfully completed in accordance with the plan of enteral nutrition support to pull out the feeding tube, enter the time for 7 to 10 days. There were 6 cases of patients with mild abdominal discomfort or abdominal distension, 5 cases of diarrhea, no anastomotic leakage, aspiration pneumonia, nasal and throat and esophageal mechanical injury and metabolic complications. Conclusion Nursing care of early postoperative enteral nutrition in patients with gastric cancer has an important role to reduce postoperative complications and promote the recovery of patients at an early stage.