喉癌患者术后鼻饲量与间隔时间研究  

Study on enteral feeding volume and feeding interval for postoperative patients with laryngeal cancer

作　　者：陈冬兰[1] 莫福琴[1] 黄代娜[1] 覃婉[1] 冯梦春[1] 陈虹妃[1] 

机构地区：[1]广西医科大学第一附属医院耳鼻咽喉头颈外科,广西南宁530021

出　　处：《护理学杂志》2013年第10期54-56,共3页

基　　金：广西壮族自治区卫生厅自筹经费科研项目(Z2007063)

摘　　要：目的研究喉癌患者术后鼻饲全营养流质的最佳鼻饲方式。方法将喉癌术后鼻饲76例患者随机分为改进组40例、对照组36例。两组均自术后6h开始鼻饲流质,从100mL逐渐递增至维持量,第3天进入研究观察。改进组每日鼻饲全营养流质5次,每次600mL,每次间隔4h;对照组按常规每日鼻饲8次,每次390mL,每次间隔2.5h。连续10d后评价效果。结果两组营养状况、淋巴细胞计数及鼻饲并发症比较,差异无统计学意义(均P>0.05);改进组胃休息时间显著延长、鼻饲日均护理耗时显著减少(均P<0.01)。结论喉癌患者术后采用改进鼻饲方式安全,有利于患者休息和减少护理工作量。Objective To explore a better enteral feeding method for postoperative patients with laryngeal cancer. Methods Seventy- six patients with laryngeal cancer after surgery were randomly divided into an observation group （n=40） and a control group （n~ 36）. Both groups started enteral feeding 6 h after operation with astarting feeding volume of 100 mL and the volume was gradually increased to a maintenance volume. On the third operative day patients were enrolled in the study. The observation group received enteral feeding 5 times a day and 600 mL for each feeding, with the feeding interval being 4 h. The control group were given rou- tine enteral feeding 8 times a day （390 mL per time and a 2.5 h feeding interval）. Effects were evaluated after 10 days. Results There were no statistical differences in nutritional status, lymphocyte counts and feeding complications between the two groups （P〉O. 05 for all）. Compared with the control group, rest time in the observation group was significantly prolonged and nurse＇s daily work time for enteral feeding was decreased （P%0.01 for both）. Conclusion The modified enteral feeding method is safe for postoperative patients with laryngeal carcinoma, and it is beneficial to patientrs rest and reduces nursing workload.

关 键 词：喉癌 外科手术 流质饮食 鼻饲 量 间隔时间 胃肠营养 

分 类 号：R472.9[医药卫生—护理学]