胃癌胃切除术后营养支持的护理  

Nursing of nutritional supporting After Gastrectomy For Gastric Carcinoma

作　　者：李焕联[1] 

机构地区：[1]佛山市第一人民医院外科,佛山528000

出　　处：《岭南现代临床外科》2004年第3期238-239,共2页Lingnan Modern Clinics in Surgery

摘　　要：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。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.

关 键 词：营养支持 胃切除术后 胃癌 患者 护理经验 出院 并发症 TPN治疗 治疗期间 护理资料 

分 类 号：R656.61[医药卫生—外科学] R735.2[医药卫生—临床医学]