肺癌术后肠内营养患者胃潴留影响因素分析

Influencing Factors of Gastric Retention in Patients with Postoperative Enteral Nutrition for Lung Cancer

目的探讨肺癌术后肠内营养患者胃潴留的影响因素。方法选取医院2022年1月至2023年11月行手术治疗并配合肠内营养支持的肺癌患者60例,对其胃潴留的发生情况进行监测,分析胃潴留影响因素。结果患者平均置管时间为(12.83±6.22)d。共发生胃潴留5例(8.33%),其中置管10 d内4例,10 d后1例;胃潴留的独立危险因素包括肠鸣音减弱、高血糖、便秘、低血钾、机械通气等。结论肺癌术后肠内营养患者胃潴留的风险较高;独立危险因素包括肠鸣音减弱、高血糖、便秘、低血钾、机械通气等,需针对性开展护理。

Objective To investigate the influencing factors of gastric retention in patients with postoperative enteral nutrition for lung cancer.Methods From January 2022 to November 2023,60 patients with lung cancer who were operated and supported by enteral nutrition were selected to monitor the occurrence of gastric retention and analyze the influencing factors of gastric retention.Results The average catheterization time of patients was(12.83±6.22)d.Gastric retention occurred in 5 cases(8.33%),including 4 cases within 10 d of tube placement and 1 case after 10 d of tube placement.The independent risk factors of gastric retention included weakened bowel sounds,hyperglycemia,constipation,hypokalemia,and mechanical ventilation.Conclusion The risk of gastric retention is higher in patients with postoperative enteral nutrition for lung cancer;Independent risk factors include weakened bowel sounds,hyperglycemia,constipation,hypokalemia,and mechanical ventilation,so targeted care is needed.