胃癌术后穴位贴敷护理疗法对早期肠内营养耐受性的应用

Postoperative acupoint application nursing therapy for gastric cancer in early intestine Application ofnutrient tolerance

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DOI 10.12208/j.jmnm.202300027
刊名
Journal of Modern Nursing MedicineJPCNS
年,卷(期) 2023, 2(1)
作者
作者单位

湖北医药学院附属人民医院胃肠外科 湖北十堰 ;

摘要
胃癌术后给予早期肠内营养,患者容易出现腹痛、腹胀、恶心、呕吐、腹泻等不耐受的状况, 2020 年 7-12 共出现早期肠内营养不耐受患者共 12 例,为了改善这种早期肠内营养出现的不耐受状况,对 2021 年 1 月胃癌术后患者使用穴位贴敷护理疗法,评价此护理疗法对早期肠内营养耐受性的应用效果。方法 将 2020 年 7-12 月收治的胃癌患者,术后早期给予肠内营养共 38 例设为对照组;在 2021 年 1 月收治的胃癌患者,术后 给予早期肠内营养基础上,应用肚脐--神阙穴位贴敷护理疗法,共 41 例设为观察组;比较两组患者在术后早期胃 肠功能的恢复情况。结果 观察组患者术后首次肛门排气时间、首次排便时间、肠鸣音的恢复时间以及空肠管的 留置时间均明显优于对照组(P<0.05)。结论 胃癌术后使用穴位护理贴敷疗法,可明显缩短胃癌术后患者胃肠功 能恢复时间,改善患者术后行早期肠内营养支持治疗所产生的不耐受现象,明显降低患者术后发生感染的比率, 缩短患者住院时间,加速患者术后的康复进程。
Abstract
Objective Patients with gastric cancer are prone to abdominal pain, abdominal distension, nausea, vomiting, diarrhea and other intolerances when given early enteral nutrition after surgery. From July to December 2020, a total of 12 patients with early enteral nutrition intolerance were diagnosed. In order to improve the intolerances of early enteral nutrition, the patients with gastric cancer after surgery in January 2021 were treated with acupoint application nursing therapy. To evaluate the effect of this nursing therapy on early enteral nutrition tolerance. Methods A total of 38 patients with gastric cancer admitted from July to December 2020 who received early postoperative enteral nutrition were set as the control group. On the basis of early postoperative enteral nutrition, a total of 41 patients with gastric cancer admitted in January 2021 were assigned to the observation group by navel - Shenque acupoint sticking treatment. The recovery of gastrointestinal function in the early postoperative period was compared between the two groups. Results The first anal exhaust time, the first defecation time, the recovery time of intestinal sound and the indentation time of jejunal duct in the observation group were significantly better than those in the control group (P<0.05). Conclusions The application of acupoint nursing therapy after gastric cancer surgery can significantly shorten the recovery time of gastrointestinal function in patients with gastric cancer after surgery, improve the intolerance caused by early postoperative enteral nutrition support therapy, significantly reduce the rate of postoperative infection, shorten the length of hospital stay, and accelerate the postoperative rehabilitation process of patients.
关键词
穴位贴敷;胃癌;肠内营养耐受性
KeyWord
acupoint application; Gastric cancer; Enteral nutrition tolerance
基金项目
页码 79-81
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李玉梅,邵申申*,周春霞,王崇入. 胃癌术后穴位贴敷护理疗法对早期肠内营养耐受性的应用 [J]. 现代护理医学杂志. 2023; 2; (1). 79 - 81.

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