CAJ | 학술논문

目的：探讨喉癌术后患者营养支持方式、供给量，以及营养支持对患者术后康复的影响。方法：将285例喉癌患者随机分为观察组和对照组，观察组161例给予匀浆膳食，对照组 124例给予混合奶，均采用硅胶鼻胃管每日鼻饲5～6次，检测术前、术后7天、术后14天各项营养指标，观察咽瘘发生的例数和平均住院日。结果：经统计学处理，观察组各项营养指标下降程度明显低于对照组，观察组平均住院日比对照组缩短12天左右。两组咽瘘发生率之间差异有统计学意义。结论：喉癌术后患者采用匀浆膳食营养支持方式较为适宜，合理的营养支持可降低咽瘘发生率，缩短平均住院日，减轻患者的经济负担。
목적：탐토후암술후환자영양지지방식、공급량，이급영양지지대환자술후강복적영향。방법：장285례후암환자수궤분위관찰조화대조조，관찰조161례급여균장선식，대조 조 124례급여혼합내，균채용규효비위관매일비사5～6차，검측술전、술후7천、술후14천각 항 영양지표，관찰인루발생적례수화평균주원일。결과：경통계학처리，관찰조각항영양지표 하강정도명현저우대조조，관찰조평균주원일비대조조축단12천좌우。량조인루발생솔지간차이유통계학의의。결론：후암술후환자채용균장선식영양지지방식교위괄의，합리적 영양지지가강저인루발생솔，축단평균주원일，감경환자적경제부담。
Objective:To provide the basis for postoperative nutritional support,exp lore the appropriate support methods and its influnce on rehabilitation in postoperative patients with laryngea l carcinoma.Methods:285 patients with laryngeal carcinoma were randomly divided into therapy group and control group.The therapy group (161 patients)was given homogenate diet and the control group(124 patients) was given mixed mi lk by nasal feeding 5-6 times per day.The nutritional index and occurr ence of pharyrgeal fistula were monitored at preoperation,7th and 14th days postopera tion r espectively.The duration of hospitalization of each patient was recorded at the same time. Results:The decreasing of the nutritional index w as significantly lower in the therapy group than in the control group(P<0.0 5).The duration of hospitalization was shortented to about 12 days, and the incidence of pharyngeal fistul a was reduced to 11%.Conclusion:The appropriate nutrition may decrease the incidence of pharyngeal fistula,shorten the mean duration in hospital and reduce the economic burden of postoperative patients with laryngeal carcinoma.