摘要
目的 胃癌术后给予早期肠内营养，患者容易出现腹痛、腹胀、恶心、呕吐、腹泻等不耐受的状况，
2020 年 7-12 共出现早期肠内营养不耐受患者共 12 例，为了改善这种早期肠内营养出现的不耐受状况，对 2021
年 1 月胃癌术后患者使用穴位贴敷护理疗法，评价此护理疗法对早期肠内营养耐受性的应用效果。方法 将 2020
年 7-12 月收治的胃癌患者，术后早期给予肠内营养共 38 例设为对照组；在 2021 年 1 月收治的胃癌患者，术后
给予早期肠内营养基础上，应用肚脐--神阙穴位贴敷护理疗法，共 41 例设为观察组；比较两组患者在术后早期胃
肠功能的恢复情况。结果 观察组患者术后首次肛门排气时间、首次排便时间、肠鸣音的恢复时间以及空肠管的
留置时间均明显优于对照组(P＜0.05)。结论 胃癌术后使用穴位护理贴敷疗法，可明显缩短胃癌术后患者胃肠功
能恢复时间，改善患者术后行早期肠内营养支持治疗所产生的不耐受现象，明显降低患者术后发生感染的比率，
缩短患者住院时间，加速患者术后的康复进程。
关键词： 穴位贴敷；胃癌；肠内营养耐受性
Abstract
Objective Patients with gastric cancer are prone to abdominal pain, abdominal distension, nausea, vomiting,
diarrhea and other intolerances when given early enteral nutrition after surgery. From July to December 2020, a total of 12 patients
with early enteral nutrition intolerance were diagnosed. In order to improve the intolerances of early enteral nutrition, the patients
with gastric cancer after surgery in January 2021 were treated with acupoint application nursing therapy. To evaluate the effect of
this nursing therapy on early enteral nutrition tolerance. Methods A total of 38 patients with gastric cancer admitted from July to
December 2020 who received early postoperative enteral nutrition were set as the control group. On the basis of early
postoperative enteral nutrition, a total of 41 patients with gastric cancer admitted in January 2021 were assigned to the observation
group by navel - Shenque acupoint sticking treatment. The recovery of gastrointestinal function in the early postoperative period
was compared between the two groups. Results The first anal exhaust time, the first defecation time, the recovery time of intestinal
sound and the indentation time of jejunal duct in the observation group were significantly better than those in the control group
(P<0.05). Conclusion s The application of acupoint nursing therapy after gastric cancer surgery can significantly shorten the
recovery time of gastrointestinal function in patients with gastric cancer after surgery, improve the intolerance caused by early
postoperative enteral nutrition support therapy, significantly reduce the rate of postoperative infection, shorten the length of
hospital stay, and accelerate the postoperative rehabilitation process of patients.
Key words： acupoint application; Gastric cancer; Enteral nutrition tolerance
参考文献 References
[1] 曹毛毛,李贺,孙殿钦,等.2000—2019 年中国胃癌流行病学趋势分析[J].中华消化外科杂志,2021,20(1):102-109.
[2] 汪麟,王彬翀,李继杨.中药辅助肠内营养干预对胃癌术后患者营养状况的影响[J].中国食物与营养,2019,25(9):87-89.
[3] 中华医学会外科学分会,中华医学会麻醉学分会.加速康复外科中国专家共识及路径管理指南(2018 版)[J].中国实用外科杂志,2018,38(1):1-20.
[4] 徐帆,沈丽娟,钟兴明,等.国外成人危重症患者肠内营养支 持 实 践 指 南 解 读 [J]. 中 西 医 结 合 护 理 ( 中 英文),2019,5(12):141-144.
[5] 张再重,肖春红,宋京翔,等.足三里穴位注射新斯的明改善重症急性胰腺炎早期肠内营养耐受性[J].肠外与肠内营养,2020,27(1):12-15.
[6] 危椠罡,林炜煌,许碧香.穴位贴敷在促进胃肠道术后患者胃肠功能恢复中的应用研究进展[J].中国现代医生,2020,58(33):189-192.
[7] BLASER A R,STARKOPF J,ALHAZZANI W, et al.Earlyenteral nuetrition in critically ill patients:ESICM clinicalpractice guidelines[J].Intensive Care Med,2017,43(3):380-398.
[8] SINGER P,BLASER A R,BERGER M M,et al.ASPENguideline on clinical nurtrition in the intensive care unit[J].ClinNutr,2019,38(1):48-79.
[9] 邵申申，李玉梅．胃肠肿瘤术后老年患者肠内营养耐受性循证护理流程的应用［J］．湖北医药学院学报，2021，40(2) : 208－210．
[10] 王华英,张月梅,姚依坤,等.中药敷神阙穴治疗产妇产后尿潴留的效果观察[J].现代临床护理,2020,19(10):26-30.