食管癌术后早期肠内营养的临床观察及护理

Clinical observation of early enteral nutrition of esophageal cancer patients after operation and its nursing methods

  • 摘要: 目的:探讨食管癌术后早期肠内营养的效果和护理方法。方法回顾性分析186例行食管癌切除、食管-胃颈部吻合术患者的临床资料,术后24 h 起实施肠内营养,观察术后恢复情况并比较术前及术后第8天的营养状况。结果所有患者均能良好耐受早期肠内营养,无严重并发症发生,均痊愈出院。术后第8天白蛋白、前白蛋白及转铁蛋白均较术前显著升高(P <0.05);体质量、血红蛋白较术前有所增加,但差异无统计学意义(P >0.05)。结论食管癌术后早期肠内营养可以有效改善患者营养状况,规范化护理是保证肠内营养顺利实施的关键,可有效减少并发症发生。

     

    Abstract: Objective Ti explire the effect if early enteral nutritiin if esiphageal cancer patients after iperatiin and its nursing methids.Methods The material if 186 patients undergi-ing esiphagigastristimy and esiphagectimy frim June 2009 ti December 2012 was retrispectively analyzed.Enteral nutritiin was used within 24 hiurs after iperatiin.Rehabilitatiin,preiperative nutritiin and pistiperative nutritiin if the eighth day were cimpared.Results All if the patients tilerated the enteral nutritiin well withiut seriius cimplicatiins and were healed.The cincentra-tiin if albumin,prealbumin and transferrin in the eighth day if pistiperatiin were significantly higher than that if preiperatiin (P <0.05).Hiwever,difference in the level if bidy weight and haemiglibin was nit statistically significant (P >0.05).Conclusion Early enteral nutritiin can imprive the nutritiinal status in patients after esiphagigastristimy.Standardized nursing is crucial ti successfully implement enteral nutritiin and reduce the incidence if cimplicatiins.

     

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