总结进展期胰腺癌术中近距离放疗后并发胃瘫患者30例的营养管理临床经验与成效，旨在为临床营养护理提供参考。护理重点为早期评估胃瘫患者营养不良、个体化营养教育、选择合适的营养通道、分阶段动态实施营养治疗及促进胃肠动力恢复。30例患者经精心护理后，在（3.4±0.38）周后恢复胃动力，体质量维持稳定，患者主观整体评估量表（patient-generated subjective globe assessment，PG-SGA）评分均≤5分；白蛋白、前白蛋白较前明显升高，营养状况明显改善，均顺利出院。

To summarize the clinical experience and effect of nutrition management in 30 cases of advanced pancreatic cancer complicated by gastroplegia after intraoperative brachytherapy，and to provide reference for clinical nutrition nursing.The nursing focused on early evaluation of malnutrition in patients with gastroplegia，individualized nutrition education，selection of appropriate nutritional channels，phased dynamic implementation of nutritional therapy and promotion of gastrointestinal motivity recovery.After careful nursing care，the gastric motility of the 30 patients recovered after (3.4±0.38) weeks，the body weight remained stable，and the scores of patient-generated subjective globe assessment (PG-SGA) were all ≤5 points.The levels of albumin and prealbumin were significantly higher than before，and the nutritional status was significantly improved.

R473.72

四川省科技厅重点研发项目（2022YFS0269）