管饲量对喉癌术后患者胃肠道并发症影响的实验研究  

Study on the effect on post-laryngoectomy patients increasing the amount of nasogastric tube feeding

作　　者：吴春树[1] 余蓉[1] 张虹婷[1] 

机构地区：[1]四川大学华西医院耳鼻咽喉-头颈外科,四川成都610041

出　　处：《护士进修杂志》2007年第21期1935-1936,共2页Journal of Nurses Training

摘　　要：目的探讨喉癌术后适当增加鼻饲量后对鼻饲患者常见胃肠道并发症的影响。方法将50例无糖尿病和消化系统疾病的喉癌术后患者随机(按手术时间顺序间隔)分为实验组和对照组,实验组25例采用的管饲方式为每3 h一次,每次40 ml;对照组25例采用传统管饲方法即每2 h管饲一次,每次200 ml。观察两种鼻饲方法的主、客观指标变化并进行比较。结果经统计学处理,两组患者管饲前常规抽取胃内残留物>50 ml、管饲后呕吐的人次数、管饲后腹泻的人次数差异均无显著意义(P<0.05);两组患者自述腹胀的人次数差异也无显著意义(P>0.05);两组患者出现便秘的例数差异有显著意义(P<0.05);实验组患者管饲前自述饥饿感的人次数较对照组差异有显著意义(P<0.0001)。结论喉癌术后适当增加鼻饲量,不仅能减少鼻饲患者胃肠道并发症的发生,更能满足其康复需求。Objective To evaluate the effect on post-laryngoectomy patients increasing the amount of nasogastric tube feeding properly. Method 50 post-laryngoectomy patient without diabetes or digestive system diseases was randomly divided into two groups. 25 test patients were fed 400 ml every 3 hours by nasogastric tube; 25 control patients were done 200 ml every 2 hours and two fed methods were compared. Result The two groups of patients routinely extracted gastric contents more than 50ml, the number of patients who have vomit, diarrhea and abdominal distension has no significant difference between the two group （P〉0. 05）. The number of patients who have constipation have significant difference （P〈0.05）. The number of patients who complain about hunger have significant difference （P〈0. 0001）. Conclusion Increasing the amount of nasogastric tube feeding properly not only can reduce the incidence of complications of gastrointestinal tract in post-laryngoectomy patient but also improve their rehabilitative process.

关 键 词：管饲量 喉癌术后 胃肠道并发症 

分 类 号：R473.6[医药卫生—护理学] R459.3[医药卫生—临床医学]