首页|叩齿咽津法对腹腔镜胃癌根治术后患者实施早期肠内营养的效果观察

叩齿咽津法对腹腔镜胃癌根治术后患者实施早期肠内营养的效果观察

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目的:观察叩齿咽津法对腹腔镜胃癌根治术后患者实施早期肠内营养的效果,为胃癌患者术后早期营养管理提供临床参考.方法:便利选取 140 例腹腔镜胃癌根治术患者为研究对象,随机分为对照组和实验组,两组各70 例.对照组实施胃癌患者规范化围手术期护理及循序渐进式营养支持治疗,实验组在对照组的基础上加用叩齿咽津法.干预后评估患者术后首次排气时间、排便时间,术后肠内营养中断率、术后第 2 天及第 7 天肠内营养达标率、术后第7天口服能量达标率及血清前白蛋白水平.结果:干预后两组患者术后首次排气时间、排便时间,术后肠内营养中断率,术后第 7天肠内营养达标率、口服能量达标率及血清前白蛋白水平比较差异有统计学意义(P<0.05).结论:叩齿咽津法联合术后循序渐进式营养支持可以改善腹腔镜胃癌根治术后患者早期胃肠功能,促进术后早期肠内营养的有效实施,帮助患者更有效地过渡到口服营养补充.
Clinical efficacy of the tooth-tapping and saliva-swallowing method on early enteral nutrition implementation after laparoscopic gastric cancer surgery
Objective:To observe the clinical efficacy of the tooth-tapping and saliva-swallowing method on early enteral nutrition implementation after laparoscopic gastric cancer surgery.Methods:A total of 140 patients who underwent laparoscopic radical gastrectomy for gastric cancer were recruited.They were randomly divided into the control group and the experimental group,with 70 cases in each group.The control group received standardized perioperative care and stepwise nutritional support therapy for gastric cancer patients,while the experimental group received the same care with the addition of the tooth-tapping and saliva-swallowing method.Postoperative evaluations included the time to first postoperative flatus and defecation,interruption rate of postoperative enteral nutrition,the compliance rate of enteral nutrition on postoperative day 2 and day 7,the compliance rate of oral energy intake and the serum pre-albumin level on postoperative day 7.Results:After the intervention,the differences between the two groups in terms of the time to first postoperative flatus and defecation,the interruption rate of postoperative enteral nutrition,the compliance rate of enteral nutrition on postoperative day 7,the compliance rate of oral energy intake and the serum pre-albumin level on postoperative day 7 were statistically significant(P<0.05).Conclusion:The tooth-tapping and saliva-swallowing method combined with stepwise enteral nutritional support can improve early gastrointestinal dysfunction in patients after gastric cancer surgery,may promote effective early enteral nutrition implementation,and assist patients in transitioning more effectively to oral nutritional supplementation.

tooth-tapping and saliva-swallowinggastrointestinal dysfunctionearly enteral nutrition

张敏、黄晓钰、许可慧、吴蓉、吴丽红

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南京中医药大学附属医院 江苏省中医院消化肿瘤外科,210029 南京市

叩齿咽津 胃肠功能障碍 早期肠内营养

2022年度江苏省中医药科技发展计划项目

MS2022024

2024

中国护理管理
卫生部医院管理研究所

中国护理管理

CSTPCD北大核心
影响因子:2.545
ISSN:1672-1756
年,卷(期):2024.24(9)