CAJ | 학술논문

目的比较全胃切除术中空肠造口与留置鼻空肠营养管的应用效果.方法采用回顾性分析方法,按肠内营养支持方法不同将23例行全胃切除患者分为留置鼻空肠营养管组(A组)17例和空肠造口组(B组)6例.比较两组患者术后睡眠情况、排痰不利、肛门恢复排气时间、咽喉疼痛、恶心、肺部感染、吻合口漏等术后并发症发生率.结果与A组比较,B组患者睡眠不佳、排痰不利、咽喉疼痛、恶心、呕吐明显减少;肛门恢复排气时间显著提前.吻合口漏、十二指肠残端瘘、腹腔和肺部感染等并发症两组间无明显差异.结论在全胃切除术中应用空肠造口,相比留置鼻空肠营养管,患者痛苦更小,心理负担更轻,更易于护理,康复更快,是一种有效、安全、合理的策略.
목적 비교전위절제술중공장조구여류치비공장영양관적응용효과.방법 채용회고성분석방법,안장내영양지지방법불동장23례행전위절제환자분위류치비공장영양관조(A조)17례화공장조구조(B조)6례.비교량조환자술후수면정황、배담불리、항문회복배기시간、인후동통、악심、폐부감염、문합구루등술후병발증발생솔.결과 여A조비교,B조환자수면불가、배담불리、인후동통、악심、구토명현감소;항문회복배기시간현저제전.문합구루、십이지장잔단루、복강화폐부감염등병발증량조간무명현차이.결론 재전위절제술중응용공장조구,상비류치비공장영양관,환자통고경소,심리부담경경,경역우호리,강복경쾌,시일충유효、안전、합리적책략.
Objective To explore the effect of the surgical technique of jejunum fistula and conventional indwelling nasogastric tube with total gastrectomy. Methods The clinical data of 23 advanced gastric cancer patients with total gastrectomy were retrospetively analyzed. Among 23 cases, 17 received jejunum fistual and 6 received indwelling nasogastric. The time to flatus and the ratio of postoperative complications including throat ache, nausea,pneumonia, anastomotic leak were compared. Results Compared with A group, the incidence of disadvantage spit sputum, dyssomnia, throat ache and nausea in B group reduced significantly, the time to flatus was advanced in B group. And other postoperative complications had no difference between two groups. Conclusion Jejunum fistula was rational, safe and effective in patients with total gastrectomy