Enteral nutrition supports early blood glucose control and nursing of patients after pancreaticoduodenectomy

Abstract

Objective To investigate the effect of enteral nutrition support on early blood glucose control and nursing of patients after pancreaticoduodenectomy. Methods A total of 60 patients who underwent pancreaticoduodenectomy in hepatobiliary and pancreatic surgery department of the hospital from July 2014 to July 2017 were selected as the study objects and were randomly divided into control group and observation group, 30 cases of each group. The control group received parenteral nutrition support, and the observation group received parenteral nutrition support. Postoperative blood glucose value, length of hospitalization, time of anal exhaust and time of recovery and defecation were taken as evaluation indexes. Results There was no significant difference in blood glucose between the two groups before operation(P>0.05). Postoperative blood glucose of the two groups showed a trend of increasing first and then decreasing, and the difference was statistically significant(P<0.05). However, 1 day, 3 days and 7 days after surgery, the blood glucose values of the observation group were significantly lower than those of the control group, with statistically significant differences(P<0.05). The hospitalization time, anus exhaust time, recovery defecation time, nutritional status and other surgical indicators in the observation group were significantly lower than those in the control group, with statistically significant differences(P<0.05). Nursing satisfaction in the observation group was significantly higher than that in the control group, and the difference was statistically significant(P<0.05). The incidence of complications in the observation group was significantly lower than that in the control group, and the difference was statistically significant(P<0.05). In the observation group, there was 1 case of delayed gastric emptying, 4 cases of postoperative bleeding, 1 case of pancreatic fistula and 1 case of biliary fistula in the control group. Conclusions The effect of enteral nutrition support on early blood glucose control in patients with pancreaticoduodenectomy is significant, which can significantly shorten the hospitalization time, promote the recovery of gastrointestinal function, improve the nutritional status of patients, reduce the incidence of complications, and improve nursing satisfaction, which is worthy of clinical promotion and application. Key words: Enteral nutrition support; Pancreaticoduodenectomy; Blood glucose control; Nursing