中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2009年
11期
41-43
,共3页
伍世绩%杨进华%何国永%柯敏芝
伍世績%楊進華%何國永%柯敏芝
오세적%양진화%하국영%가민지
胃肿瘤%贲门%肠道营养%治疗应用
胃腫瘤%賁門%腸道營養%治療應用
위종류%분문%장도영양%치료응용
Stomach neoplasms%Cardia%Enteral nutrition%Therapeutic uses
目的 研究胃底贲门癌术后早期应用自制营养液的可行性、安全性和应用价值.方法 将145例胃底贲门癌患者随机分为肠内组73例和肠外组72例,肠内组术后第1天起从肠内营养管输入自制营养液加少量肠内营养混悬液(能全力)6～8d,肠外组术后第1天起经静脉输入肠外营养6～8 d.比较两组患者术后住院天数、住院费用、并发症及术后恢复情况等指标.结果 肠内组术后9d血浆白蛋白[(43.4±4.4)g/L]比肠外组[(35.0±3.7)g/L]明显升高(P＜0.01),肠内组肛门排气、排便时间[(49.0±22.5)h、(74.4±7.3)h]均比肠外组[(70.1±20.1)h、(96.6±12.7)h]早(P＜0.01),平均住院费用/药费肠内组与肠外组分别为(9433.1±1024.6)/(3271.8±420.9)元、(12953.4±2919.7)/(4832.9±872.6)元(P＜0.01);肠内组并发症总发生率比肠外组减少(P＜0.01).结论 胃底贲门癌术后早期应用肠内自制营养液安全可行,符合生理要求,能促进肠功能恢复,快速改善患者术后营养状况.
目的 研究胃底賁門癌術後早期應用自製營養液的可行性、安全性和應用價值.方法 將145例胃底賁門癌患者隨機分為腸內組73例和腸外組72例,腸內組術後第1天起從腸內營養管輸入自製營養液加少量腸內營養混懸液(能全力)6～8d,腸外組術後第1天起經靜脈輸入腸外營養6～8 d.比較兩組患者術後住院天數、住院費用、併髮癥及術後恢複情況等指標.結果 腸內組術後9d血漿白蛋白[(43.4±4.4)g/L]比腸外組[(35.0±3.7)g/L]明顯升高(P＜0.01),腸內組肛門排氣、排便時間[(49.0±22.5)h、(74.4±7.3)h]均比腸外組[(70.1±20.1)h、(96.6±12.7)h]早(P＜0.01),平均住院費用/藥費腸內組與腸外組分彆為(9433.1±1024.6)/(3271.8±420.9)元、(12953.4±2919.7)/(4832.9±872.6)元(P＜0.01);腸內組併髮癥總髮生率比腸外組減少(P＜0.01).結論 胃底賁門癌術後早期應用腸內自製營養液安全可行,符閤生理要求,能促進腸功能恢複,快速改善患者術後營養狀況.
목적 연구위저분문암술후조기응용자제영양액적가행성、안전성화응용개치.방법 장145례위저분문암환자수궤분위장내조73례화장외조72례,장내조술후제1천기종장내영양관수입자제영양액가소량장내영양혼현액(능전력)6～8d,장외조술후제1천기경정맥수입장외영양6～8 d.비교량조환자술후주원천수、주원비용、병발증급술후회복정황등지표.결과 장내조술후9d혈장백단백[(43.4±4.4)g/L]비장외조[(35.0±3.7)g/L]명현승고(P＜0.01),장내조항문배기、배편시간[(49.0±22.5)h、(74.4±7.3)h]균비장외조[(70.1±20.1)h、(96.6±12.7)h]조(P＜0.01),평균주원비용/약비장내조여장외조분별위(9433.1±1024.6)/(3271.8±420.9)원、(12953.4±2919.7)/(4832.9±872.6)원(P＜0.01);장내조병발증총발생솔비장외조감소(P＜0.01).결론 위저분문암술후조기응용장내자제영양액안전가행,부합생리요구,능촉진장공능회복,쾌속개선환자술후영양상황.
Objective To investigate the efficiency, safety and application value of early utilization of nutrient of home-made formula in post-operation of gastric fundic cardia cancer patients. Methods One hundred and forty-five cases of gastric fundic cardia cancer patients were randomly divided into two groups,early enteral-intestinal nutrient formula of home-made (enteral-intestinal group,73 cases) and intra-venous nutrition (intra-venous group,72 cases). Patients in enteral-intestinal group were given home-mada nutrition-liquid plus nutrison fibre for 6-8 days from the first post-operation day, intravenous group were given venousnutrition injection for 6-8 days from the first post-operation day. The average residential day, spends,complications and recovery situation were recorded and compared between the two groups. Results The average residential day in enteral-intestinal group was less than that in intra-venous group, average spends /drugs cost were (9433.1±1024.6)/(3271.8±420.9) yuan vs (12 953.4±2919.7 )/(4832.9±872.6) yuan respectively (P < 0.01 ),the complication in enteml-intestinal group was less than that in intra-venous group (P < 0.01 ). Time of revive testinal function in enteral-intestinal group was earlier than that in intra-venous group,ALB in enteral-intestinal group was higher than that in intra-venous group (P < 0.01 ). Conclusion Early enteral-intestinal nutrient utilization of home-made formula in post-operation of gastric fundic cardia cancer patients is safe and applicable, it can improve patients' post-operation nutrition situation and intestinal function.
