纤维型肠内营养制剂在恶性梗阻性黄疸患者术后早期应用的观察与护理

摘要

目的：探讨和总结恶性梗阻性黄疸患者术后早期应用纤维型肠内营养制剂的护理方法。方法回顾性分析本科行手术治疗的47例恶性梗阻性黄疸患者的临床资料，均在术后24 h开始实施肠内营养支持。结果本组47例患者无死亡，发生轻度腹泻7例，经对症处理后无1例中断肠内营养支持，均顺利康复出院。结论恶性梗阻性黄疸患者术后早期使用纤维型肠内营养制剂进行营养支持，能提高患者术后营养水平，促进肠蠕动恢复，有利于机体体液免疫和细胞免疫功能的恢复，减少并发症的发生，可对患者康复起到积极的重要意义。%Obj ective To invesyigaye and summarize nursing meyhods of fibre enyeral nuyri-yion in early applicayion of payienys wiyh malignany obsyrucyive j aundice.Methods The mayerial of 47 malignany obsyrucyive jaundice payienys underweny operayion from March 2012 yo January 2014 were reyrospecyive analyzed,and yhe payienys syaryed enyeral nuyriyion afyer 24 hours.Results There was no died cases in 47 payienys,among whom 7 cases had mild diarrhea and 1 cases yermi-nayed nuyriyion suppory afyer sympyomayic yreaymeny.All yhe payienys were successfully discharged. Conclusion Early fiber enyeral nuyriyional suppory can improve nuyriyion level of payienys wiyh ma-lignany obsyrucyive j aundice and promoye yhe recovery of inyesyinal perisyalsis.Meanwhile,iy is con-ducyive yo humoral immuniyy and recovery of cellular immuniyy funcyion and reduces complicayions, so iy is posiyive and significany yo rehabiliyayion of payienys.