After gastrectomy enteral nutrition through jejunostomy Nursing Experience.docVIP

 PAGE \* MERGEFORMAT 7 After gastrectomy enteral nutrition through jejunostomy Nursing Experience [Keywords:] jejunostomy; enteral nutrition; gastrectomy Enteral nutrition by jejunostomy is surgically placed jejunostomy tube to tube feeding to provide nutrition and other nutrients to support a variety of methods commonly used in patients after gastrectomy. Since January 2000, I have hospital 42 cases were performed total gastrectomy, including 20 patients in the intraoperative placement of jejunostomy tubes, if given early tube feeding nutrients, achieved good results, are reported are as follows. A clinical data A total of 42 patients in this group, male 31 cases, 11 females, aged 43 to 80 years, with an average of 60 years old, all patients total gastrectomy implemented basically the same way. These, 22 patients after total gastrectomy in the early fasting, intravenous nutrition support therapy, 3 ~ 7d postoperative recovery of intestinal function after removal of gastric tube into the liquid to the whole of the amount of fluid daily increments; another 20 patients during surgery placement of the jejunostomy tube, after 2 ~ 3d through the jejunostomy tube type nutrient solution, enter the 3 ~ 7d depending on the circumstances, after a small amount of liquid diet by mouth, step by step, gradually increase the amount to the whole volume of fluid until the patient completely by the I eat no adverse reactions, can fully meet the needs of the body in the second half before jejunal feeding tube removal. Postoperative monitoring of the patient’s serum total protein, albumin situation (no significant difference in preoperative) and the resumption of exhaust defecation time. Jejunostomy enteral nutrition group patients in the exhaust recovery time significantly earlier than parenteral nutrition support group, protein recovery is superior to parenteral nutrition support groups. 2 Nursing 2.1 Psychological Care Majority of patients placed on the surg