胃癌术后早期肠内营养的观察及护理

目的 探讨胃癌术后早期肠内营养支持的疗效及护理对策. 方法 将60例行胃大部分切除手术的胃癌患者随机分为观察组和对照组各30例.对照组进行留置胃管、禁食、肠外营养等治疗护理.观察组在对照组的基础上,于术后12h给予肠道内营养支持.于手术前和术后营养支持8d后分别抽空腹血检测2组患者营养指标、免疫指标和肛门恢复排气、排便时间、并发症等护理指标.采用χ2检验及t检验. 结果 术后8d,前清蛋白、血清蛋白、转铁蛋白、纤维连接蛋白和总蛋白指标观察组均显著优于对照组.术后8d观察组的淋巴细胞计数、IgA、IgG、IgM的水平显著优于对照组.术后肠鸣音恢复时间、排气时间、排便时间、进食时间、营养治疗费用、住院时间及并发症发生率等指标观察组亦显著优于对照组. 结论 术后早期肠内营养支持能提高胃大部分切除患者营养状况,提高患者免疫力,增进胃肠功能恢复,缩短住院时间,减少并发症的发生.

Effect of early postoperative enteral nutrition on patients after gastrectomy and nursing strategy

Objective To study the effect of early postoperative enteral nutrition on patients after gastrectomy and nursing strategy. Methods Sixty patients with gastric cancer were assigned into the observation group and the control group after gastrectomy.Both groups accepted the regular nursing nutrition.The observation group also received early postoperative enteral nutritional supply 12 hours postoperation.The nutritional conditions, immune conditions, anal exsufflation and defecation and complications between two groups were recorded both preoperation and on the 8th day postoperation.χ2test and t test were used. Results On the 8th day postoperation,the observation group was better than the control group in prealbumin, serum albumin, transferrin, fibronectin and total protein,lymphocyte count, IgA, IgG and IgM.The observation group was also superior to the control group in recovery time of bowel sound, anal exsufflation and defecation, foodintake time, expense of nu-trition treatment, hospitalization time and incidence rate of complication. Conclusions The early postoperative enteral nutrition can promote nutritional condition, advance immunity, improve functional rehabilitation of gastrointestine and reduce the incidence rate of complication and hospitalization time.