胃癌术后患者早期肠内营养的护理

目的：探讨胃癌术后早期肠内营养的临床效果及护理措施。方法：术晨置胃管时同时置入胃肠营养管于胃内，术中医生将营养管置于吻合口下方20-30cm处，术后输入能全力4～6天并给予相应护理。结果：本组146例营养支持4～6天，出现轻度腹痛、腹胀12例，7例较术前体重减轻，切口一期愈合，平均住院14．5天。结论：早期肠内营养有利于胃癌术后患者的康复，耐心细致的护理是保证营养计划的顺利完成，也是减少并发症的关键。

Nursing of early enteral nutritional support for patients with gastric carcinoma after operation

Objective：To investigate the clinical outcome and the nursing intervention of early enteral nutritional support for the patients with gastric carcinoma after operation. Methods：The surgeon placed jejunum nutrient catheter about 20-30 centimeters under anastomotic stoma during the operation which gastric canal was placed.The medical personnel infused Intacted Protein Enteral Nutrition for 4-6 d by the jejunum nutrient catheter and provided these patients with necessary nursing care after operation. Results：Among 146 patients with nutritional support,there were 12 patients occurring slightly abdominal pain and abdominal distension,and 5 weight loss than preoperation. All patients stayed in hospital for average 14.5 d, and their operative incision were primary healing. Conclusion：Early enteral nutritional support is advantageous for recovery of patients with gastric carcinoma after operation, and careful nusing is a key for finishing nutrition planning and reducing complication.