不同递增输注速度肠内营养对食管癌鼻饲患者的影响  

Effect of Different Increase Progressively Infusion Rates of Enteral Nutrition in Patients with Esophageal Cancer Receiving Nasal Feeding

作　　者：陈燕珠 苏双莲[1] 杜亚娟[1] CHEN Yanzhu;SU Shuanglian;DU Yajuan(The First Affiliated Hospital of Xiamen University,Xiamen 361003,China;不详)

机构地区：[1]厦门大学附属第一医院,福建厦门361003

出　　处：《中外医学研究》2023年第13期132-136,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨不同递增输注速度肠内营养对食管癌鼻饲患者的影响。方法:选取2020年8月—2022年8月厦门大学附属第一医院收治的81例给予肠内营养干预的食管癌鼻饲患者。根据随机数表法将其分为低速组(27例)、中速组(27例)、高速组(27例)。三组均给予肠内营养干预,初始输注速度均为30 mL/h,低速组每4小时输注速度提高10 mL,中速组每4小时输注速度提高15 mL,高速组每4小时输注速度提高20 mL。比较三组干预前及干预8 h、16 h、24 h后的腹内压,喂养耐受性,胃肠功能恢复情况,干预前及干预7 d后生存质量。结果:干预8 h、16 h、24 h后,低速组腹内压低于中速组和高速组,中速组腹内压低于高速组,差异有统计学意义(P<0.05)。低速组的喂养不耐受性发生率低于中速组和高速组,中速组喂养不耐受性发生率低于高速组,差异有统计学意义(P<0.05)。低速组肠鸣音恢复时间、排气恢复时间、排便恢复时间均早于中速组和高速组,中速组肠鸣音恢复时间、排气恢复时间、排便恢复时间均早于高速组,差异有统计学意义(P<0.05)。干预7 d后,三组生理因素、心理因素、环境影响、社会关系评分均显著提高,低速组生理因素、心理因素、环境影响、社会关系评分均高于中速组和高速组,中速组生理因素、心理因素、环境影响、社会关系评分均高于高速组,差异有统计学意义(P<0.05)。结论:食管癌鼻饲患者应用低速递增输注速度进行肠内营养干预,能明显减轻患者腹内压升高,促进胃肠功能恢复,提高喂养耐受性和生存质量。Objective:To investigate the effect of different increase progressively infusion rates of enteral nutrition in patients with esophageal cancer receiving nasal feeding.Method:From August 2020 to August 2022,81 patients with esophageal cancer receiving nasal feeding who received enteral nutrition intervention in the First Affiliated Hospital of Xiamen University were selected.According to the random number table method,they were divided into low speed group(27 cases),medium speed group(27 cases)and high speed group(27 cases).All three groups were given enteral nutrition intervention,the initial infusion speed was 30 mL/h,the infusion speed was increased by 10 mL every 4 h in the low speed group,15 mL every 4 h in the medium speed group,and 20 mL every 4 h in the high speed group.The intra-abdominal pressure before intervention and 8 h,16 h and 24 h after intervention,feeding tolerance,recovery condition of gastrointestinal function,quality of life before intervention and 7 d after intervention were compared among the three groups.Result:After 8 h,16 h and 24 h of intervention,the intra-abdominal pressure in the low speed group were lower than that in the medium speed group and the high speed group,and the intra-abdominal pressure in the medium speed group were lower than that in the high speed group,and the differences were statistically significant(P<0.05).The incidence of feeding intolerance in low speed group was lower than that in medium speed group and high speed group,and the incidence of feeding intolerance in medium speed group was lower than that in high speed group,and the differences were statistically significant(P<0.05).The recovery time of bowel sound,exhaust recovery time,defecation recovery time in the low speed group were earlier than those in the medium speed group and the high speed group,and the recovery time of bowel sound,exhaust recovery time,defecation recovery time in the medium speed group were earlier than those in the high speed group,and the differences were statistically significant(P<

关 键 词：肠内营养 输注速度 食管癌 喂养耐受性 

分 类 号：R735.1[医药卫生—肿瘤]