本文關(guān)鍵詞： 胃癌 早期腸內(nèi)營養(yǎng) 腸內(nèi)營養(yǎng)耐受 風(fēng)險因素　出處：《腸外與腸內(nèi)營養(yǎng)》2017年03期 　論文類型：期刊論文

【摘要】：目的:研究胃癌病人術(shù)后早期腸內(nèi)營養(yǎng)(EEN)不耐受的風(fēng)險因素及其對預(yù)后的影響。方法:選取行胃癌根治術(shù),且術(shù)后行EEN的75例胃癌病人的病歷資料,根據(jù)術(shù)后EEN實施后病人是否出現(xiàn)惡心、嘔吐、腹痛、腹脹和腹瀉的癥狀,將病人分為EEN耐受組和不耐受組。結(jié)果:51例(68%)胃癌病人在術(shù)后實施EEN過程中出現(xiàn)了EN不耐受的癥狀,24例(32%)早期實施EN后耐受良好。不耐受組病人的手術(shù)類型、術(shù)后第1天下床活動時間、開始EN的時間和使用營養(yǎng)泵與耐受組之間存在明顯差異。經(jīng)多元回歸分析發(fā)現(xiàn),病人術(shù)后第1天下床活動時間4 h和使用EN泵是術(shù)后EEN耐受的有利因素(P0.05)。EEN不耐受組病人術(shù)后排氣、排便時間和住院時間均明顯長于耐受組。結(jié)論:胃癌病人術(shù)后下床活動時間不足及未使用EN泵進行勻速輸注是EEN出現(xiàn)不耐受的風(fēng)險因素,可延緩病人術(shù)后康復(fù)。
[Abstract]:Objective: to study the risk factors of early enteral nutrition intolerance and its influence on prognosis in patients with gastric cancer. Methods: radical gastrectomy was performed in patients with gastric cancer. According to the medical records of 75 patients with gastric cancer who underwent EEN after operation, whether the patients developed nausea, vomiting, abdominal pain, abdominal distension and diarrhea after EEN. The patients were divided into EEN tolerance group and intolerance group. Results 51 patients with gastric cancer developed en intolerance during EEN. The operation type of the patients in the group of intolerance and the time of getting out of bed on the first day after operation were good. There were significant differences between the time of starting en and the use of nutrition pump and tolerance group, which were found by multiple regression analysis. The time of getting out of bed for 4 hours on the first day after operation and the use of en pump were the favorable factors of postoperative EEN tolerance. The defecation time and hospitalization time were significantly longer than those in the tolerance group. Conclusion: insufficient time to get out of bed and no uniform infusion of en pump are the risk factors of EEN intolerance in patients with gastric cancer. It can delay the patient's recovery after operation.
【作者單位】： 黃山市首康醫(yī)院普通外科;南京軍區(qū)南京總醫(yī)院普通外科;
【分類號】：R459.3;R735.2
【正文快照】： 胃癌是臨床上常見的消化系統(tǒng)惡性腫瘤,發(fā)生率呈上升趨勢[1]。胃癌發(fā)病隱匿,早期胃癌多無癥狀或僅有輕微癥狀,因而中晚期病人較為多見。目前,胃癌根治術(shù)是胃癌病人的主要治療手段[2]。胃癌病人本身在術(shù)前多伴有不同程度的營養(yǎng)不良,加之手術(shù)創(chuàng)傷、消化道生理結(jié)構(gòu)改變等則可能進

【參考文獻】

相關(guān)期刊論文 前10條

1 楊光;;胃癌根治術(shù)后早期腸內(nèi)營養(yǎng)與腸外營養(yǎng)的臨床應(yīng)用效果比較[J];航空航天醫(yī)學(xué)雜志;2016年11期

2 李倩;韓丁;姚俊英;范e，

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