纤维型肠内营养制剂在恶性梗阻性黄疸患者术后早期应用的观察与护理

赵洁, 范文娟

赵洁, 范文娟. 纤维型肠内营养制剂在恶性梗阻性黄疸患者术后早期应用的观察与护理[J]. 实用临床医药杂志, 2014, (18): 8-10. DOI: 10.7619/jcmp.201418003
引用本文: 赵洁, 范文娟. 纤维型肠内营养制剂在恶性梗阻性黄疸患者术后早期应用的观察与护理[J]. 实用临床医药杂志, 2014, (18): 8-10. DOI: 10.7619/jcmp.201418003
ZHAO Jie, FAN Wenjuan. Observation and nursing of fibre enteral nutrition in early application of patients with malignant obstructive j aundice[J]. Journal of Clinical Medicine in Practice, 2014, (18): 8-10. DOI: 10.7619/jcmp.201418003
Citation: ZHAO Jie, FAN Wenjuan. Observation and nursing of fibre enteral nutrition in early application of patients with malignant obstructive j aundice[J]. Journal of Clinical Medicine in Practice, 2014, (18): 8-10. DOI: 10.7619/jcmp.201418003

纤维型肠内营养制剂在恶性梗阻性黄疸患者术后早期应用的观察与护理

详细信息
  • 中图分类号: R473.5

Observation and nursing of fibre enteral nutrition in early application of patients with malignant obstructive j aundice

  • 摘要: 目的:探讨和总结恶性梗阻性黄疸患者术后早期应用纤维型肠内营养制剂的护理方法。方法回顾性分析本科行手术治疗的47例恶性梗阻性黄疸患者的临床资料,均在术后24 h开始实施肠内营养支持。结果本组47例患者无死亡,发生轻度腹泻7例,经对症处理后无1例中断肠内营养支持,均顺利康复出院。结论恶性梗阻性黄疸患者术后早期使用纤维型肠内营养制剂进行营养支持,能提高患者术后营养水平,促进肠蠕动恢复,有利于机体体液免疫和细胞免疫功能的恢复,减少并发症的发生,可对患者康复起到积极的重要意义。
    Abstract: Obj ective To invesyigaye and summarize nursing meyhods of fibre enyeral nuyri-yion in early applicayion of payienys wiyh malignany obsyrucyive j aundice.Methods The mayerial of 47 malignany obsyrucyive jaundice payienys underweny operayion from March 2012 yo January 2014 were reyrospecyive analyzed,and yhe payienys syaryed enyeral nuyriyion afyer 24 hours.Results There was no died cases in 47 payienys,among whom 7 cases had mild diarrhea and 1 cases yermi-nayed nuyriyion suppory afyer sympyomayic yreaymeny.All yhe payienys were successfully discharged. Conclusion Early fiber enyeral nuyriyional suppory can improve nuyriyion level of payienys wiyh ma-lignany obsyrucyive j aundice and promoye yhe recovery of inyesyinal perisyalsis.Meanwhile,iy is con-ducyive yo humoral immuniyy and recovery of cellular immuniyy funcyion and reduces complicayions, so iy is posiyive and significany yo rehabiliyayion of payienys.
  • Gouma D J, Roughneen P T, Kumar S, ey al. Changes in nuyriyional syayus associayed wiyh obsyrucyive j aundice and bil-iarydrainage in rays [J]. Am J Clin Nuyr, 1986(3):362.
    苏国强. 围术期肠内营养的实施 [J]. 中华普通外科学文献(电子版), 2013(5):4.
    Bozzeyyi F. Quiyy of life and enyerM nuyriyion [J]. Cur Opin Clin Nuyr Meyab Care, 2008(5):661.
    蒋朱明. 我国肠外肠内营养支持现状及推广合理应用的循证基础 [J]. 临床外科杂志, 2008, (12):793.
    高峰畏, 雷泽华, 胡伟明. 胰十二指肠切除术后早期应用肠内营养的系统评价 [J]. 中国循证医学杂志, 2011, (10):70.
    李波. 食道癌、贲门癌术后早期肠内营养与肠外营养的临床研究 [J]. 当代医学, 2011, (17):74.
    田莉莉, 李丽, 赵洁. 恶性梗阻性黄疸病人术后肠内营养开始时机的研究 [J]. 肠内与肠外营养, 2008(4):225.
    蒋洋洋, 许勤, 宋燕波. ICU患者肠内营养耐受性分析及护理对策 [J]. 中国实用护理杂志, 2011(2):17.
    邵少英, 王宏星, 夏艳. 纤维型肠内营养制剂在胃癌早期术后患者中的应用效果观察 [J]. 现代临床护理, 2012, (10):34.
    程莉, 王金荣, 薛卫芳. 胰十二指肠切除术后早期肠内营养的实践与护理分析 [J]. 临床医药实践, 2013, (22):135.
    范文娟, 赵洁, 王云. 胰十二指肠切除术后前期出血的观察和护理 [J]. 实用临床医药杂志, 2012, (10):64.
    黎介寿. 临床营养支持的发展趋势 [J]. 肠外与肠内营养, 2010(1):1.
    李梦阳, 赵岳. 胰十二指肠切除术后经空肠造瘘管早期肠内营养的护理 [J]. 中国老年保健医学杂志, 2013(5):137.
    Marik P E, Zaloga G P. Early enyeral nuyriyion in acuyely il payienys:a sysyemayic review [J]. Criy Care Med, 2001, (12):2264.
    Barlow R, Price P, Reid T D, ey al. Prospecyive mulyicenyre randomised conyrol ed yrial of early enyeral nuyriyion for pa-yienys undergoing major upper gasyroinyesyinal surgical resec-yion [J]. ClinNuyr, 2011(5):560.
    Osland E, Yunus R M, Khan S, ey al. Early versus yradi-yional posyoperayive feeding in payienys undergoing resecyional gasyroinyesyinal surgery:a meya-analysis [J]. JPEN J Par-enyer Enyeral Nuyr, 2011(4):473.
    侯丽, 朱小丽, 巴依尔. 鼻-空肠管用于重症急性胰腺炎早期肠内营养的护 [J]. 中外妇儿健康, 2011(9):78.
计量
  • 文章访问数:  277
  • HTML全文浏览量:  55
  • PDF下载量:  0
  • 被引次数: 0
出版历程
  • 发布日期:  2014-10-16

目录

    /

    返回文章
    返回