腹部手术后早期肠内营养应用护理.docVIP

腹部手术后早期肠内营养应用护理 　　【摘要】目的 探讨腹部手术后早期肠内营养的有效护理方法。方法 以我院45例腹部较大手术患者为观察组,同期腹部手术患者40例为对照组。观察组给予术后早期肠内营养,对照组给予完全胃肠外营养。比较两组术后肛门恢复排气、排便时间及营养生化指标等。结果 观察组术后肛门恢复排气、排便时间较对照组提前;观察组术后营养生化指标优于对照组。差异具有统计学意义,P0.05。结论 腹部大手术后实施早期肠内营养是安全有效的营养治疗方法,有效的护理措施能减少其并发症,提高其疗效。 　　【关键词】腹部手术肠内营养胃肠外营养护理 　　【中图分类号】R656 【文献标识码】A 【文章编号】1004-7484(2010)08-0-02 　　 　　The application of nurse of early enteral nutrition after abdominal surgery 　　 　　【Abstract】Objective:To exploer the effective methods of nursecare of early postoperative enteral nutrition for abdominal surgery.Methods: 45 patients in our hospital who received larger abdominal surgery was as theobservational group.40 45 patients were as the control group in the same time.the observational group received early postoperative enteral nutrition.The control group received total parenteral nutrition.To compare the postoperative recovery exhaust and defecate of anal and biochemical index of nutrition.Results:The postoperative recovery exhaust and defecate in the observational group were earlier than the control group. The postoperative biochemical index of nutrition in the observational group was better than the control group.Thedifference was statistically significant,P0.05.Conclusion:The early enteral nutrition was the effective and safe therapeutic methods for abdominal large surgery.The effective nurse for early enteral nutrition can reduce complications and improve efficacy. 　　【Key words】abdominal surgery; enteral nutrition; parenteral nutrition; nurse 　　 　　腹部大手术的患者多存在程度不同的的营养不良,术后早期的肠内营养(EN)是一种简便、安全及有效的营养支持方法,能早日恢复正常的肠道通畅性,防止肠源性感染,提高免疫力,避免肠功能衰竭,有效纠正代谢紊乱,但是也存在各种不良反应或并发症。如何加强护理,减少不良反应的发生,是肠内营养护理工作的重点。安全有效的EN与肠外营养(PN)相比,更符合生理结构和功能的完整性[1,2]。总结我院45例腹部大手术患者术后早期肠内营养的护理,取得满意疗效,报道如下。 　　1 资料和方法 　　1.1 一般资料 　　以我院2006年1月-2008年12月腹部较大手术患者45例为观察组,其中男29例,女26例,年龄26-77岁,平均52.3413.36岁;其中胃癌根治术12例,胰十二指肠切除术6例,胆肠吻合术15例,结直肠癌术12例,给予早期肠内营养。以同期收治的腹部较大手术患者40例为对照组,其中男27例,女23例,年龄29-74岁,平均56.28±11.35岁;其中胃癌根治术11例,胰十二指肠切除术4例,胆肠吻合术14例,结直肠癌术11例,给予完全胃肠外营养。2组患者男女比例、平均年