胃癌术后早期使用肠内营养泵的护理观察

目的探索胃癌术后早期使用肠内营养泵与常规持续重力滴注肠内营养疗法的疗效。方法将56例胃癌术后患者随机分为两组，实验组为术后6～24h经鼻肠营养管用复尔凯800型肠内营养泵输注肠内营养（enteral nutrition，EN）。对照组术后6～24h经鼻肠营养管持续重力滴注法手控输注EN，对肛门排气时间、肛门排便时间、进食时间、住院时间以及腹胀、腹泻、腹痛、恶心呕吐、吻合口瘘等进行比较。结果两组吻合口瘘无统计学意义，两组其余比较的各项目中观察组优于对照组。结论胃癌术后早期使用肠内营养泵有利于肠功能恢复并有效减少肠内营养的不良反应。

Nursing Observation of Postoperative Enteral Nutrition in Patients with Gastric Carcinoma

Objective To explore the therapy efficacy of early postoperative gastric enteral nutrition using conventional continuous gravity infusion pump. Methods From June 2008 to October 2009, a total of 56 cases with gastric cancer were randomly divided into 2 groups：experimental group was treated nasal enteral nutrition rehabilitation Markey 800 infusion pump EN 6-24 h after operation ; control group with intestinal feeding tube nasal continuous gravity drip method hand-controlled infusion of EN. Flatus, anal defecation time, eating time, hospitalization time, abdominal distension, diarrhea, abdominal pain, nausea and vomiting, consistent with fistula and other aspects were compared. Results The fistula between the two groups was not significantly different. Other indexes in the observation group were superior to those in the control group. Conclusion The use of early postoperative gastric enteral nutrition pumps can help to restore bowel function and reduce adverse effects of enteral nutrition.