军事护理2024,Vol.41Issue(10) :109-112.DOI:10.3969/j.issn.2097-1826.2024.10.026

进展期胰腺癌术中近距离放疗后并发胃瘫患者30例的营养管理

Nutritional Management of 30 Advanced Pancreatic Cancer Patients Undergoing Gastroplegia After Intraoperative Brachytherapy

刘美伶 王静 李放 唐小丽 赵亚 张丽霞
军事护理2024,Vol.41Issue(10) :109-112.DOI:10.3969/j.issn.2097-1826.2024.10.026

进展期胰腺癌术中近距离放疗后并发胃瘫患者30例的营养管理

Nutritional Management of 30 Advanced Pancreatic Cancer Patients Undergoing Gastroplegia After Intraoperative Brachytherapy

刘美伶 1王静 1李放 1唐小丽 1赵亚 1张丽霞1
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作者信息

  • 1. 四川省肿瘤医院电子科技大学医学院附属肿瘤医院肝胆胰外科,四川成都 610041
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摘要

总结进展期胰腺癌术中近距离放疗后并发胃瘫患者30例的营养管理临床经验与成效,旨在为临床营养护理提供参考.护理重点为早期评估胃瘫患者营养不良、个体化营养教育、选择合适的营养通道、分阶段动态实施营养治疗及促进胃肠动力恢复.30例患者经精心护理后,在(3.4±0.38)周后恢复胃动力,体质量维持稳定,患者主观整体评估量表(patient-generated subjective globe assessment,PG-SGA)评分均≤5分;白蛋白、前白蛋白较前明显升高,营养状况明显改善,均顺利出院.

Abstract

To summarize the clinical experience and effect of nutrition management in 30 cases of advanced pancreatic cancer complicated by gastroplegia after intraoperative brachytherapy,and to provide reference for clinical nutrition nursing.The nursing focused on early evaluation of malnutrition in patients with gastroplegia,individualized nutrition education,selection of appropriate nutritional channels,phased dynamic implementation of nutritional therapy and promotion of gastrointestinal motivity recovery.After careful nursing care,the gastric motility of the 30 patients recovered after(3.4±0.38)weeks,the body weight remained stable,and the scores of patient-generated subjective globe assessment(PG-SGA)were all ≤5 points.The levels of albumin and prealbumin were significantly higher than before,and the nutritional status was significantly improved.

关键词

胰腺肿瘤/术中放疗/胃瘫

Key words

pancreatic neoplasm/intraoperative radiotherapy/gastroplegia

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基金项目

四川省科技厅重点研发项目(2022YFS0269)

出版年

2024
军事护理
第二军医大学

军事护理

CSTPCDCSCD北大核心
影响因子:1.628
ISSN:2097-1826
参考文献量15
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