| 王玉瑛,刘芬莲,张和花,黎瑞红.胃肠道术后肠内营养滴速对胃肠不良反应相关性的研究[J].上海护理,2015,15(7): |
| 胃肠道术后肠内营养滴速对胃肠不良反应相关性的研究 |
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| 投稿时间：2013-09-02 修订日期：2014-08-11 |
| DOI： |
| 中文关键词: 胃肠道术后 肠内营养 滴速 胃肠不良反应 |
| 英文关键词:gastrointestinal surgery Enteral nutrition Dripping speed Gastrointestinal adverse reactions |
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| 中文摘要: |
| [摘要] 目的 探讨胃肠道术后肠内营养液通过鼻肠管滴入的最佳滴速。方法 将60例胃肠道肿瘤术后患者行肠内营养的患者按循证获得的实证，随机分成高剂量组（n=30例，起始滴速为60ml/h）和低剂量组（n=30例，起始速度为20ml/h）。观察肠内营养液不同滴注速度时患者出现恶心、呕吐、腹胀、腹泻、肠痉挛、胃潴留等不良反应两组间的差异。结果 两组患者恶心、呕吐、腹胀、肠痉挛、胃潴留的发生数无差异（P>0.05）。腹泻的发生数高剂量组明显高于低剂量组（P<0.05），经干预6h后能恢复肠内营养。而低剂量组由于滴注速度缓慢，不能按时完成肠内营养计划，热量和氮量不足，大部分仍由肠外营养补充。结论 肠内营养液通过鼻肠管滴入的最佳初始速度为60ml/h，以每日增加10ml/h的速度递增，达100ml/h维持，连续滴注8天。 |
| 英文摘要: |
| [Abstract] Objective To investigate the the best drop velocity of enteral nutrition solution through nasointestinal tube in patients underwent gastrointestinal tract operations. Methods 60 cases of postoperative gastrointestinal tumor patients with enteral nutrition according to empirical evidence obtained, were randomly divided into high dose group (n=30 cases, initial droplet velocity is 60ml/h) and low dose group (n=30 cases, the initial velocity was 20ml/h). Observe the difference of nausea, vomiting, abdominal distension, diarrhea, intestinal spasm, gastric retention in patients with different enteral nutrition drip velocity between the two groups. Results Between the two groups of patients, the occurrence of nausea, vomiting, abdominal distension, intestinal spasm, gastric retention numbers had no difference (P>0.05). The occurrence of diarrhea in high dose group was significantly higher than that of low dose group (P<0.05), the patients could be restored after 6 hours of the intervention of enteral nutrition. The low dose group could not finish the enteral nutrition plan on time as the infusion velocity was slow, and the quantity of heat and nitrogen were deficient, the most were still supported by parenteral nutrition supplement. Conclusion The best drop velocity of enteral nutrition solution through nasointestinal tube in patients after gastrointestinal tract operations is 60ml/h, with the daily increasing 10ml/h, 100ml/h maintenance, continuous infusion of 8 days. |
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