食管癌术后早期肠内营养达标率及影响因素护理研究.docVIP

食管癌术后早期肠内营养达标率及影响因素护理研究 郭敏卢惠民 冯锦珊 陈雪梅刘保花 (南方医科大学附属顺德第一人民医院心胸乳腺外科广东佛山528300) 【摘要】目的：探讨食管癌术后早期肠内营养达标率及其影响因素。方法： 回顾性分析107例行食管癌根治术的病人，并根据术后第3天肠内营养供给能量 是否达到目标需要热卡［25kal/(kg.d)］的60%,将患者分成达标组和未达标组，比 较两组早期肠内营养实施率、初始处方热卡、喂养不耐受和营养中断发生率。结 果：早期肠内营养达标率为42.9%,达标组早期肠内营养实施率、处方热卡量高 于未达标组，喂养不耐受、营养中断的发生人数低于未达标组，差异有统计学意 义(P均V0.05)。结论：食管癌术后早期肠内营养达标率低，提高早期肠内营养 实施率、初始处方热卡量，降低喂养不耐受、营养中断发牛率有助于提高早期肠 内营养达标率。 【关键词】食管癌；肠内营养；达标率；影响因素 【中图分类号】R19 【文献标识码】A 【文章编号】2095-1752 (2015) 11-0344-03 The factors affecting and goal-reaching rate of early enteral nutrition in patients with esophageal cancer after operation Guo Min丄u Huimin,FengJinhan’ChengXuemei丄iu Baohua Department of Thoracic Cardiovascular Breast Surgery, First Peoplersquo;s Hospital of Shunde,Southern Medical University,Foshan 528300, China 【Abstract 】Objective To investigate whether factors obtaining early enteral nutrition, calorie of initial prescription, feed intoleranee, termination of nutrition infusion effect goal-reaching rate of enteral nutrition in patients with esophageal cancer after operation. Methods 107 patients with esophageal cancer after operation were assigned to successful group and unsuccessful group regarding calorie of enteral nutrition at third day after esophagectomy which was more than 60 percent of target calorie need or not. Results The goal-reaching rate of early enteral nutrition was 42.9% in our study? There were no statistical differences in age, sex ratio, body weight, body mass index, the level of albumin, prealbumin, lympholeukocyte, calorie of parenteral nutrition at third day after esophagectomy between two groups. Compared with unsuccessful group, implementation rate of early enteral nutrition, calorie of initial prescript!on were higher in successful group? It was associated with lower risk of feed intoleranee, termination of nutrition infusion in successful group compared with unsuccessful group? Conclusions Early enteral nu triti on, and in crease calorie of initial prescription, decrease in cide ne