作者：陈颖1，李静2，彭利芬1，陈利芬3

单位：1.中山大学附属第一医院 胃肠外科二科， 广东 广州 510080； 2.中山大学附属第一医院 烧伤创面中心， 广东 广州 510080； 3.中山大学附属第一医院 护理部， 广东 广州 510080

Authors: Chen Ying1, Li Jing2, Peng Lifen1, Chen Lifen3

Unit: 1. Department of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong, China； 2. Burn Wound Center, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong, China； 3. Department of Nursing, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong, China

摘要：

目的 分析全胃切除、食管空肠Roux-en-Y吻合术后患者出现腹泻的原因，并探讨其护理策略。方法 分析8例全胃切除术后患者出现腹泻的原因，并指导患者术后少量多餐、细嚼慢咽、餐后平卧10～20 min，制定个体化食谱。结果 8例腹泻患者经护理之后，腹泻、乏力、头晕症状明显缓解，均未出现水、电解质紊乱，体重、血清白蛋白、总蛋白均未出现明显下降，并顺利康复出院。结论 全胃切除术后患者出现腹泻时应及时分析原因，警惕发生早期倾倒综合征的可能，并及时给予正确的饮食指导，对防治饮食相关并发症、促进术后康复具有积极意义。

关键词：胃癌; 全胃切除术; 腹泻

Abstract：

Objective To analyze the causes of diarrhea in patients after total gastrectomy and Roux-en-Y esophago-jejunal anastomosis, and to explore its nursing strategies. Methods In this study, we analyzed the causes of diarrhea in 8 patients after total gastrectomy, and educated the patients to eat a few meals, eat slowly, lie supine for 10-20 minutes after every meal, and made individualized diet. Results After nursing, the symptoms of diarrhea, fatigue and dizziness were relieved, and there was no disturbance of water and electrolyte, no obvious loss in body weight, serum protein and total protein, and the patients were discharged from hospital smoothly. Conclusion When diarrhea occurs in patients after total gastrectomy, it is necessary to timely analyze the causes, guard against the possibility of early dumping syndrome, and give correct dietary guidance in time, which is of positive significance to prevent and treat diet-related complications and promote postoperative rehabilitation.

Key Words: Gastric cancer; Total gastrectomy; Diarrhea