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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Abstract Full text Figures/Tables Video References Cited by

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. 謝天鵬, 趙雍凡, 劉華英. 早期腸內營養對食管癌術后全身炎性反應及細胞免疫功能的影響[J]. 四川醫學, 2005, 26(1):18-20.
2. 吳楓, 陳平, 鄭祺. 三腔喂養管在胃癌術后病人早期腸內營養的應用[J]. 腸外與腸內營養, 2012, 19(2):86-88.
3. 朱明煒, 崔紅元. 腸內營養制劑的合理應用[J]. 臨床藥物治療雜志, 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. 徐順英,付春梅. 晚期胃癌病人使用三腔喂養管腸內營養的護理[J]. 齊齊哈爾醫學院學報, 2011, 32(16):2677-2678.
6. 蔣玉麗. 全胃切除后患者早期腸內營養支持的護理[J]. 護理與健康, 2008, 7(9):691-692.
7. 吳紅云, 佘佩吟, 謝妙芳. 胃癌術后三腔喂養管腸內營養的觀察和護理[J]. 護理實踐與研究, 2009, 6(11):35-36.
8. 李卡, 蔣理立, 黃曉. 結直腸癌術后早期腸內營養對胃腸功能恢復的影響[J]. 華西醫學, 2010, 25(1):216-217.
9. 蔣朱明.我國腸外腸內營養支持現狀及推廣合理應用的循證基礎[J]. 臨床外科雜志, 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. 胡艷杰, 李卡, 黃明君, 等. ω-3脂肪酸在胃腸道腫瘤患者中的臨床作用效果[J]. 華西醫學, 2013, 28(7):1120-1122.
12. 魏興華, 趙平武. 鼻空腸三腔喂養管在胃癌患者術后的應用及護理[J]. 華西醫學, 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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