Perioperative clinical care of parenteral and enteral nutrition supports in post-hepatectomy patients
10.3760/cma.j.issn.1674-635X.2009.05.002
- VernacularTitle:肝切除患者围手术期营养支持的护理作用
- Author:
Jifang MEN
;
Lei LI
;
Shenling FU
;
Danjing ZHANG
;
Xianghui JIN
;
Hongyuan CUI
;
Mingwei ZHU
;
Junmin WEI
- Publication Type:Journal Article
- Keywords:
Hepatectomy;
Perioporative;
Nutritional risk screening;
Parenteral nutrition;
Enteral nutrition;
Clinical care
- From:
Chinese Journal of Clinical Nutrition
2009;17(5):264-267
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the perioperative clinical care experience of parenteral and enteral nutrition supports in post-hepatectomy patients.Methods The clinical data of 146 consecutive post-hepatectomy patients in Beijing Hospital were collected and analyzed.For these patients,nutritional risk screening (NRS) 2002 was performed after admission,enteral nutrition support was provided before operation,and enteral and parenteral nutrition supports were provided after operation.Nutritional parameters,clinical outcomes,and nursing methods were evaluated.Results Among these 146 patients,91 patients had≥3 NRS2000 scores,and the remaining 55 patients scored ＜ 3.A total of 118 patients were administrated with enteral and pareteral nutrition;the average enferal nutrition time was 9.6 days,and the average pareteral nutrition time was 5.4 days.The average onset time of passage of gas by anus afar operation was (70.7±17.1) hours.Three patients died,15 patients suffered from infections after operation,and 13 patients experienced other complications.The median hospital stay was 25.5 days.Conclusions Post-hepatectomy patients need take nutritional risk screening after admission and receive appropriate nutritional supports in the perioperative period.It is equally important to strengthen clinical nursing for nutrition support.
