喉癌术后鼻饲全营养流质的最佳鼻饲方式研究  

The Best Nasogastric Way of Full Nutritional Fluid in Patients with Laryngeal

作　　者：徐艳敏[1] 马秀凤[2] 李术平[1] 

机构地区：[1]牡丹江医学院红旗医院妇产科,黑龙江牡丹江157011 [2]牡丹江医学院红旗医院耳鼻喉科,黑龙江牡丹江157011

出　　处：《中国食物与营养》2015年第8期75-77,共3页Food and Nutrition in China

摘　　要：目的:探讨喉癌患者术后鼻饲全营养流质治疗最佳的鼻饲方法,为临床提供参考。方法:将牡丹江医学院红旗医院接诊的喉癌术后鼻饲全营养流质患者95例作为研究对象,随机分为2组,2组皆于术后6h鼻饲全营养流质,从100m L逐量增至维持量,进入观察期后研究组(50例)按照每次600m L,每天5次处理;对照组(45例)按照常规用量处理。观察记录2组患者术前术后BMI、ALB及淋巴细胞计数,以及胃排空时间、胃休息时间、鼻饲并发症等,并对比分析。结果:2组患者术后BMI、ALB及淋巴细胞计数对比无显著性差异(P>0.05),鼻饲并发症发生率对比也无显著性差异(P>0.05);研究组胃排空时间、胃休息时间则显著优于对照组(P<0.05)。结论:喉癌手术患者术后采取合理鼻饲全营养流质方式,可促进患者术后休息与恢复。Objective To explore the best nasogastric method of full nutritional fluid feeding in patients with laryngeal cancer after surgery to provide reference for clinical practice. Method Totally 95 laryngeal cancer patients of full nutrient liquid nasogastric after surgery were randomly divided into two groups,and the two groups were at 6h after nasogastric full nutritional liquid,gradually increased to maintain the amount of volume from 100 m L. After entering the observation period the study group（ 50 cases） in accordance with each600 m L,5 times / d treatment; the control group（ 45 cases） treated in accordance with conventional dosage. Postoperative BMI,ALB and lymphocyte count,and gastric emptying time of the stomach time to rest,nasal complications,between the two groups were observed,compared,and recorded preoperatively. Result There was no significant difference between the postoperative BMI,ALB and lymphocyte count of the incidence of nasal complications（ P 0. 05）. Gastric emptying time and the stomach rest time of study group was significantly better than the control group（ P 0. 05）. Conclusion Reasonable nasogastric full nutritional liquid way for laryngeal surgery patients could promote rest and recovery.

关 键 词：喉癌 鼻饲 全营养流质 最佳方式 

分 类 号：R473.73[医药卫生—护理学]