首页|胃癌患者术后肠内营养不耐受预防及处理措施的研究进展

胃癌患者术后肠内营养不耐受预防及处理措施的研究进展

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目的 总结针对胃癌患者术后肠内营养不耐受现有的防治手段,为临床医护人员提供参考依据.方法 系统检索中英文数据库中有关胃癌术后肠内营养不耐受影响因素及防治措施的相关文献,并进行归纳总结.结果 胃癌术后肠内营养不耐受的发生是多种因素相互作用的结果,目前针对肠内营养不耐受的防治措施涵盖多个方面,包括中医疗法如艾灸和按摩,优化营养制剂配方以提高耐受性,调整肠内营养营养制剂输注方式以减少不良反应,以及肠内营养预适应等多项策略,然而部分措施的效果尚需进一步验证.结论 目前,临床针对肠内营养不耐受采取了一系列措施,并有一定成效.未来应加强对肠内营养不耐受风险人群的识别,预防肠内营养不耐受的发生;同时制定科学的肠内营养方案,保证肠内营养实施效果,促进患者预后.
Research progress on prevention and management of postoperative enteral nutrition intolerance in patients with gastric cancer
Objective To summarize the existing prevention and treatment methods for postoperative enteral nutrition intolerance in patients with gastric cancer,so as to provide reference for clinical health care providers.Method The related literatures on the factors affecting and the prevention and treatment measures for postoperative enteral nutrition intolerance in Chinese and English databases were systematically searched,and summarized.Results The occurrence of enteral nutrition intolerance after gastric cancer surgery was the result of the interaction of multiple factors.Currently,the prevention and treatment measures of enteral nutrition intolerance covered various aspects,including traditional Chinese medicine therapies such as moxibustion and massage,optimizing the nutritional formula to improve tolerance,adjusting the enteral nutrition infusion methods to reduce adverse reactions,and strategies such as enteral nutrition preconditioning.However,the effectiveness of some measures still required further validation.Conclusions At present,a series of measures have been taken in clinic for enteral nutrition intolerance,and some results have been achieved.In the future,we should strengthen the identification of people at risk of enteral nutrition intolerance to prevent the occurrence of enteral nutrition intolerance.At the same time,a scientific enteral nutrition scheme is formulated to ensure the implementation effect of enteral nutrition and promote the prognosis of patients.

gastric cancernutrition supportenteral nutritionnutritional intolerance

叶佩玲、袁星竹、刘常清、李卡

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四川大学华西护理学院/四川大学华西医院(成都 610041)

四川大学华西医院麻醉手术中心/四川大学华西护理学院(成都 610041)

胃癌 营养支持 肠内营养 营养不耐受

2024

中国普外基础与临床杂志
四川大学华西医院

中国普外基础与临床杂志

CSTPCD
影响因子:0.858
ISSN:1007-9424
年,卷(期):2024.31(12)