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胃瘫治疗方法(Gastroparesis treatment)
胃瘫治疗方法(Gastroparesis treatment)
1, nutritional support is maintained
Conclusion oral diet is the target of postoperative gastroparesis. Patients with gastroparesis due to gastric peristalsis and contraction, affect the normal physiological function of decomposition of food, forming chyme, emulsified fat, diet nursing staff with mild symptoms and oral intake of patients. Eating a small amount of liquid and low-fat food can reduce abdominal distention and nausea, and eating soft and digestible fiber foods can inhibit the formation of fecal stones and promote gastric emptying. Dietary guidance may include reducing the solids in your diet, increasing fluid nutrients, reducing the intake of high fat foods and indigestible fiber foods. For those who gradually recover from fasting, they can begin with a salt liquid diet, such as broth, and gradually transition to the half fluid of noodles and porridge, and finally restore the normal diet. Diabetic patients are often associated with decreased antral contractility, duodenal dysfunction, and pyloric spasm,
75% of patients with diabetes have postsurgical gastroparesis, the main pathological reason is the dysfunction of vagus nerve and interstitial cells caused by hyperglycemia. Therefore, doctors and nurses should strictly control the blood sugar of patients with diabetes before and after abdominal surgery. During the recovery period after surgery, with the increase in the number of meals consumed by diabetic patients, medical staff should adjust the amount of insulin in time. For those who can not pass the mouth diet, enteral or parenteral nutrition should be used to provide nutritional support and maintain water and electrolyte balance, and enteral nutrition is the first choice. Early enteral nutrition plays an important role in maintaining normal structure and function of intestinal tract, and it can effectively reduce the incidence of infection.
2, the stomach promoting power medicine
2.1 carbachol, a cholinergic drug that
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