Application and Nursing Care of Three-lumen Gastrojejunal Tube for Enteral Nutrition in Postoperative Patients with Gastric Carcinoma_West China Medical Journal

Authors：

 LUAn-qing , LIKa , JIANGLi-li

Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

Keywords：

Gastric cancer; Enteral nutrition; Three-lumen gastrojejunal tube; Nursing

DOI：

10.7507/1002-0179.20140157

Video：

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Objective To summarize the experiences of application and nursing measures of three-lumen gastrojejunal tube for enteral nutrition in postoperative patients with gastric carcinoma. Methods We analyzed the clinical data of 60 gastric cancer patients undergoing treatment with three-lumen gastrojejunal tube after surgery between June and September 2012. And then we summarized the nursing experiences including fixation and flushing of the tube, plugging disposal, management of the nutrition temperature, and infusion speed choice. Results Postoperative nutritional status of all the 60 patients were improved. Their plasma albumin level reached (34.58±5.29) g/L, plasma hemoglobin reached the level of (113.90±19.12) g/L, and score of nutrition risk screening 2002 reached 3.47±0.71. Meanwhile, earlier recovery of enteric function made shorter average hospitalization. Decreasing use of parenteral nutrition avoided related complications. Conclusion Application of the three-lumen gastrojejunal tube in postoperative patients with gastric carcinoma for enteral nutrition can improve their nutritional status and promote their recovery at an early time.

Citation： LUAn-qing, LIKa, JIANGLi-li. Application and Nursing Care of Three-lumen Gastrojejunal Tube for Enteral Nutrition in Postoperative Patients with Gastric Carcinoma. West China Medical Journal, 2014, 29(3): 523-525. doi: 10.7507/1002-0179.20140157 Copy

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1. 谢天鹏, 赵雍凡, 刘华英. 早期肠内营养对食管癌术后全身炎性反应及细胞免疫功能的影响[J]. 四川医学, 2005, 26(1):18-20.
2. 吴枫, 陈平, 郑祺. 三腔喂养管在胃癌术后病人早期肠内营养的应用[J]. 肠外与肠内营养, 2012, 19(2):86-88.
3. 朱明炜, 崔红元. 肠内营养制剂的合理应用[J]. 临床药物治疗杂志, 2009, 7(6):14-15.
4. Nakao M, Ogura Y, Satake S, et al. Usefulness of soluble dietary fiber for the treatment of diarrhea during enteral nutrition in elderly patients[J]. Nutrition, 2002, 18(1):35-39.
5. 徐顺英,付春梅. 晚期胃癌病人使用三腔喂养管肠内营养的护理[J]. 齐齐哈尔医学院学报, 2011, 32(16):2677-2678.
6. 蒋玉丽. 全胃切除后患者早期肠内营养支持的护理[J]. 护理与健康, 2008, 7(9):691-692.
7. 吴红云, 佘佩吟, 谢妙芳. 胃癌术后三腔喂养管肠内营养的观察和护理[J]. 护理实践与研究, 2009, 6(11):35-36.
8. 李卡, 蒋理立, 黄晓. 结直肠癌术后早期肠内营养对胃肠功能恢复的影响[J]. 华西医学, 2010, 25(1):216-217.
9. 蒋朱明.我国肠外肠内营养支持现状及推广合理应用的循证基础[J]. 临床外科杂志, 2008, 16(12):793-794.
10. Mazaki T, Ebisawa K. Enteral versus parenteral nutrition after gastrointestinal surgery:a systematic review and meta analysis of randomized controlled trials in the English literature[J]. J Gastrointest Surg, 2008, 12(4):739-755.
11. 胡艳杰, 李卡, 黄明君, 等. ω-3脂肪酸在胃肠道肿瘤患者中的临床作用效果[J]. 华西医学, 2013, 28(7):1120-1122.
12. 魏兴华, 赵平武. 鼻空肠三腔喂养管在胃癌患者术后的应用及护理[J]. 华西医学, 2009, 24(3):757-758.

West China Medical Journal

Application and Nursing Care of Three-lumen Gastrojejunal Tube for Enteral Nutrition in Postoperative Patients with Gastric Carcinoma

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