食管癌、贲门癌术后肠外高营养液补充时机对患者的影响  

Timing of Parenteral Hyperalimentation in Post-operative Patients with Esophageal and Cardiac Carcinoma

作　　者：王娟[1] 刘颖[1] 王艳玲[1] 于长海[1] 

机构地区：[1]解放军总医院第一附属医院胸心外科,北京100037

出　　处：《解放军护理杂志》2007年第09B期8-9,55,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：解放军总医院第一附属医院科研课题(2006021)

摘　　要：目的探讨食管癌、贲门癌术后肠外高营养支持的最佳输注时间。方法随机选取食管癌、贲门癌术后患者80例,分为两组,每组40例。术后20h左右给予肠外高营养者为A组,术后48h后给予肠外高营养者为B组,通过观察患者各项生化指标、生命体征和临床症状,做出综合评价。结果术后B组在生化指标、肠蠕动恢复时间、情绪反应、心理状态等方面均优于A组,且住院天数有所减少。结论掌握食管癌、贲门癌术后输注静脉高营养的合理时机,能改善患者的生命体征及临床症状,减少住院时间,提高患者生活质量。Objective To determine the best time for the parenteral hyperalimentation in patients with esophageal and cardiac carcinoma. Methods Eighty patients with esophageal and cardiac carcinoma were evenly randomized into 2 groups after operation. Patients were given parenteral hyperalimentation 20 h （group A） and 48 h （group B） after operation. Comprehensive assessment of patients was made after observing the biochemical parameters, vital signs and clinical symptoms of patients. Results The biochemical parameters, recovery of bowl movement, emotional reaction, and psychological condition were all better in group B than in group A; the hospital stay of patients was shorter in group B. Conclusion The correct time of post-operative parenteral hyperalimentation can improve the patients＇ vital signs and clinical symptoms,reduce hospital stay and improve the life quality of patients.

关 键 词：食管癌 贲门癌 肠外高营养 

分 类 号：R473.6[医药卫生—护理学]