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目的:分析和探讨我院2016年胃癌患者术后早期肠内营养现状及影响因素。方法:采用回顾性方法分析我院2016年1月～2016年6月经胃癌手术治疗88例患者资料,分析胃癌术后患者早期肠内营养现状和影响早期肠内营养的危险因素。结果:早期肠内营养中,患者营养充分占19.32%,营养不充分占80.68%;其中EN营养不充分的原因中,EN不耐受为39.44%、未提高EN剂量32.39%、非计划性拔管18.31%、其他9.86%;EN营养不充分中EN不耐受、未提高EN剂量、非计划性拔管等影响因素均高于EN营养充(X~2=4.674,P=0.031;X~2=7.456,P=0.006;X~2=4.682,P=0.006)。结论:胃癌术后患者在早期采用肠内营养更加符合患者的生理状态,可以提高患者的营养状态,减少静脉营养不良的问题。
Objective: To analyze and discuss the status of postoperative early enteral nutrition in our hospital in 2016 and its influencing factors. Methods: A retrospective analysis of 88 cases of gastric cancer surgery in our hospital from January 2016 to June 2016 was performed to analyze the status of early enteral nutrition and risk factors for early enteral nutrition in patients with gastric cancer. Results: In early enteral nutrition, 19.32% of patients were nutritionally nutritious and 80.68% of them were undernutrition. Among the reasons of insufficient nutrition in EN, 39.44% were not tolerated in EN, 32.39% were not increased in EN, EN was 18.31%, others 9.86%; EN was not enough to EN EN intolerance, EN dose was not increased, unplanned extubation and other factors were higher than the EN nutritional charge (X ~ 2 = 4.674, P = 0.031; 2 = 7.456, P = 0.006; X ~ 2 = 4.682, P = 0.006). Conclusion: The patients with postoperative gastric cancer in the early enteral nutrition more in line with the physiological status of patients, can improve the patient’s nutritional status, reduce the problem of poor parenteral nutrition.