胃癌胃切除术后营养支持的护理

目的：总结胃癌胃切除术后营养支持的护理经验。方法：回顾性分析105例胃癌胃切除术后患者实施营养支持的护理资料。应用TPN时的护理应注意保护血管．做好血糖的监测．严格控制入速：应用TEN时的护理注意做好空肠造瘘管的护理,严格掌握TEN要从低速、低浓度、小剂量开始：做好口服饮食指导。结果：75例患者于营养支持第一阶段行。TPN治疗期间5例发生代谢性并发症,其中3例发生高血糖反应,2例发生低血糖反应：38例患者于营养支持第二阶段行TEN治疗期间6例出现胃肠道反应：全部病例营养状况均有不同程度改善,92例治愈出院,13例好转出院,无一例死亡。结论：做好营养支持的护理工作是改善胃癌胃切除术后患者预后的重要措施之一。

Nursing of nutritional supporting After Gastrectomy For Gastric Carcinoma

Objective To summarize the experiences of nursing of nutritional supporting after gastrectomy for gastric carcinoma. Methods The nursing data of 105 patients who underwent gastectomy for gastric carcinoma were analyzed retrospectively. During TPN treatment, protection of blood vessels, monitoring of blood sugar,control of infusion speed were emphasized simultaneously.Care of stoma of jejunostomy was noticed when TEN was applied.TEN was performed in low speed,low concentrition and small dose at the beginning. Oral diet was given under instruction of medical staff. Results 5 of 75 patients had metabolic complications during TPN. Among them, 3 had hyperglycemia, 2 had hypoglycemia. 6 of 38 patients had gastrointestinal reaction during TEN. Nutritional status of all patients improved in different degree. 92 were cured,improvement was in 13 cases,and no death in this group. Conclusion A good nursing of nutritional supporting is important to improve the prognosis of patients received gastrectomy for gastric carcinoma.