Analysis of the incidence of early enteral nutrition intolerance and related influencing factors in postoperative gastric cancer patients
10.3760/cma.j.cn115822-20210428-00095
- VernacularTitle:胃癌患者术后早期肠内营养不耐受的发生情况及其相关影响因素分析
- Author:
Yujia DU
1
;
Yedong SHI
;
Xiaojie SUN
Author Information
1. 中国医科大学附属盛京医院中医科，沈阳 110000
- Keywords:
Gastric cancer;
Radical gastric cancer surgery;
Early enteral nutrition;
Intolerance;
Influencing factors
- From:
Chinese Journal of Clinical Nutrition
2021;29(6):373-377
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the incidence of early enteral nutrition intolerance and related influencing factors in postoperative gastric cancer patients.Methods:90 gastric cancer patients who underwent radical gastric cancer surgery and received early enteral nutrition thereafter in our hospital were retrospectively enrolled from January 2019 to December 2020. Patients were divided into early enteral nutrition tolerance group ( n=30) and intolerance group ( n=60) according to whether they developed nausea, vomiting, abdominal distension, abdominal pain, diarrhea and other symptoms after early enteral nutrition. The general characteristics of the two groups were compared and the risk factors of early enteral nutrition intolerance in postoperative gastric cancer patients were analyzed using multivariate Logistic regression. Results:60 (66.67%) of the 90 postoperative gastric cancer patients experienced early enteral nutrition intolerance. Multivariate Logistic regression analysis showed that ≤4 hours of out-of-bed activity on the first postoperative day and nonuse of nutrition pump were independent risk factors for early enteral nutrition intolerance in these patients ( OR=2.998; 4.586, P<0.05). Conclusions:The risk factors of early enteral nutrition intolerance in postoperative gastric cancer patients were ≤4 hours of out-of-bed activity on the first postoperative day and nonuse of nutrition pump. Corresponding clinical interventions could be implemented to prevent the occurrence of early enteral nutrition intolerance in postoperative gastric cancer patients.
