胃癌全胃切除术后肠内营养支持的护理效果观察  

The effect of enteral nutrition care for gastric cancer after total gastrectomy perioperative

作　　者：葛月萍[1] 陈扬波[2] 房海娟 

机构地区：[1]绍兴文理学院附属医院外科,浙江绍兴312000 [2]浙江省立同德医院中医内科,浙江杭州310000

出　　处：《中国现代医生》2014年第12期105-107,111,共4页China Modern Doctor

基　　金：浙江省中医药科技计划(2013ZB010)

摘　　要：目的 探讨胃癌全胃切除术后肠内营养支持的护理效果.方法 选择2010年1月～2013年1月在我院行胃癌全胃切除术患者共56例,采用随机数字表将患者分为观察组与对照组,每组28例.对照组围手术期常规护理,观察组在对照组的基础上予以肠内营养支持,比较两组的各项观察指标：营养指标：血总蛋白（TP）、白蛋白（Alb）、血红蛋白（Hb）;肠功能指标：肠鸣音恢复时间、肛门排气时间;并发症：吻合口瘘、肺部感染、伤口感染、腹痛、腹胀、静脉炎.结果 治疗后两组患者的TP、Alb、Hb均较治疗前明显升高,且观察组患者的TP、Alb、Hb水平均较对照组升高更显著,组间及组内分别比较,差异均有统计学意义（P＜0.05）.观察组患者的肠鸣音恢复时间、肛门排气时间均明显快于对照组,组间比较,差异均有统计学意义（P＜0.05）.观察组无一例发生肺部感染、伤口感染及静脉炎,对照组无一例出现伤口感染,观察组并发症发生率7.1％,明显低于对照组,组间比较,差异有统计学意义（P＜0.05）.结论 胃癌全胃切除术后围术期实施肠内营养支持及综合性护理干预措施如心理干预、营养管护理、消化道护理等,可明显改善患者的营养状况,促进胃肠功能恢复,减少并发症发生,从而更有利于疾病的恢复.Objective To investigate the effect of enteral nutrition care for gastric cancer after total gastrectomy peri- operative. Methods From January 2010 to January 2013 in our hospital, 56 cases gastric cancer patients had no other history of digestive diseases,no history of endocrine and metabolic diseases, heart, liver, kidney function was normal.The patients were randomly divided into observation group and control group, 28 cases in each group. Perioperative control routine care, observation group were given enteral nutritional support on the basis of the control group.The two groups of the observed indicators：nutrition indicators：serum total protein（TP）, albumin（Alb）, hemoglobin（Hb） ;Bowel func- tion index ：bowel sounds recovery time,flatus;complications：anastomotic fistula , pulmonary infection, wound infection, abdominal pain, bloating, phlebitis were compared. Results After treatment, the TP, Alb, Hb of two groups was signifi- cantly higher than before treatment , and the TP, Alb, Hb levels of observation group increased more significantly than the control group, the differences were statistically significant（P〈0.05）. Bowel sounds and recovery time of observation group flatus were significantly faster than the control group, the differences were statistically significant between two groups（P〈0.05）. Observation group had no pulmonary infection, wound infection and phlebitis ,the control group had no wound infection,the incidence of complications rate of observation group was 7.1%,was significantly higher than the control group,the difference was statistically significant（P〈0.05）. Conclusion Gastric cancer after total gastrectomy pe- rioperative enteral nutrition support and comprehensive care interventions such as psychological interventions , feeding tube care, gastrointestinal care, can significantly improve the nutritional status of patients,promote the recovery of pa- tients with bowel function, reduce the incidence of complications, conducive to the recovery of the dise

关 键 词：胃癌全胃切除术 肠内营养 围术期 护理效果 并发症 

分 类 号：R473[医药卫生—护理学] R735.2[医药卫生—临床医学]