肠内营养不同递增输注速度对食管癌术后患者喂养耐受性的影响  

Impact of Different Incremental Infusion Rates of Enteral Nutrition on Feeding Tolerance in Patients after Esophageal Cancer Surgery

作　　者：李冰 楚晓飞 马景丹 张慧娟 杨丽 刘伟伟 LI Bing;CHU Xiaofei;MA Jingdan;ZHANG Huijuan;YANG Li;LIU Weiwei(Department of Thoracic Surgery,the Affiliated Tumor Hospital of Zhengzhou University/Henan Cancer Hospital,Zhengzhou 450008,China)

机构地区：[1]郑州大学附属肿瘤医院/河南省肿瘤医院胸外科,河南郑州450008

出　　处：《临床医学工程》2023年第9期1251-1252,共2页Clinical Medicine & Engineering

基　　金：河南省科技发展计划项目(172102310645)。

摘　　要：目的探讨肠内营养不同递增输注速度对食管癌术后患者喂养耐受性的影响。方法选取2021年1月至2022年6月于我院行肠内营养干预的201例食管癌术后患者,随机分为低速组、中速组和高速组各67例。三组的初始输注速度为10 mL/h,低速组、中速组和高速组输注肠内营养每4 h分别提高10 mL、15 mL、20 mL,直至提高到90 mL/h保持持续输注。比较三组的喂养耐受性、胃肠功能恢复情况。结果低速组的喂养不耐受性发生率低于中速组和高速组,且中速组喂养不耐受性发生率低于高速组(P<0.05)。低速组排气、排便、肠鸣音恢复时间及腹胀缓解时间短于中速组和高速组,且中速组排气、排便、肠鸣音恢复时间及腹胀缓解时间短于高速组(P<0.05)。结论低速递增输注速度对食管癌术后患者行肠内营养干预,能够显著提高喂养耐受性,促进胃肠功能恢复。Objective To explore the impact of different incremental infusion rates of enteral nutrition on feeding tolerance in patients after esophageal cancer surgery.Methods 201 patients with enteral nutrition intervention after esophageal cancer surgery in our hospital from January 2021 to June 2022 were selected and randomly divided into low speed group,medium speed group and high speed group,with 67 cases in each group.The initial infusion rate of three groups was 10 mL/h and increased by 10 mL,15 mL and 20 mL every 4 hours in the low speed group,medium speed group and high speed group respectively,and maintained continuous infusion until reaching 90 mL/h.The feeding tolerance and recovery of gastrointestinal function of three groups were compared.Results The incidence of feeding intolerance in the low speed group was lower than that in the medium speed group and high speed group,and the incidence of feeding intolerance in the medium speed group was lower than that in the high speed group(P<0.05).The recovery time of gas,defecation and bowel sounds,and the relief time of abdominal distension in the low speed group were shorter than those in the medium speed group and high speed group,and the relief time of abdominal distension in the medium speed group was shorter than that in the high speed group(P<0.05).Conclusions Low incremental infusion speed for enteral nutrition intervention in patients after esophageal cancer surgery can significantly improve the feeding tolerance and promote the recovery of gastrointestinal function.

关 键 词：肠内营养 输注速度 食管癌 喂养耐受性 

分 类 号：R473.73[医药卫生—护理学]