新疆医科大学学报
新疆醫科大學學報
신강의과대학학보
JOURNAL OF XINJIANG MEDICAL UNIVERSITY
2013年
10期
1476-1479
,共4页
阿布力米提·阿不都哈力克%李晓莉%林海
阿佈力米提·阿不都哈力剋%李曉莉%林海
아포력미제·아불도합력극%리효리%림해
肠内营养%空肠造瘘管%鼻饲营养管
腸內營養%空腸造瘺管%鼻飼營養管
장내영양%공장조루관%비사영양관
enteral nutrition%j ej unostomy%nasoj ej unal feeding tube
目的对比胃大部切除术后空肠造瘘与鼻饲营养2种肠内营养方式的临床疗效。方法选择新疆喀什地区第一人民医院2010年7月-2013年3月收治的130例行胃大部切除术的患者。其中采用鼻饲营养管进行术后肠内营养100例(鼻饲营养组),采用空肠造瘘管进行术后肠内营养30例(空肠造瘘组)。比较两组术后呼吸道、消化道症状及营养管相关并发症之间的差异。结果鼻饲营养组咳嗽、咳痰、咽部不适、腹胀腹痛、恶心呕吐及营养管堵塞发生率均高于空肠造瘘组,差异有统计学意义(P <0.05)。两组肺部感染、发热寒战、反流、肠瘘、脱管发生率差异无统计学意义(P >0.05)。鼻饲营养组肛门排气时间(46.5±9.6)h、营养管留置时间(12.0±3.7)d,空肠造瘘组肛门排气时间和营养管留置时间分别为(34.6±7.4)h、(21.0±5.8)d,两组比较差异均有统计学意义(P<0.05)。结论胃大部切除术中应用空肠造瘘管进行术后肠内营养较留置鼻饲营养管效果好,患者痛苦小,胃肠道功能恢复速度快,并发症少,是一种安全可靠的营养方式。
目的對比胃大部切除術後空腸造瘺與鼻飼營養2種腸內營養方式的臨床療效。方法選擇新疆喀什地區第一人民醫院2010年7月-2013年3月收治的130例行胃大部切除術的患者。其中採用鼻飼營養管進行術後腸內營養100例(鼻飼營養組),採用空腸造瘺管進行術後腸內營養30例(空腸造瘺組)。比較兩組術後呼吸道、消化道癥狀及營養管相關併髮癥之間的差異。結果鼻飼營養組咳嗽、咳痰、嚥部不適、腹脹腹痛、噁心嘔吐及營養管堵塞髮生率均高于空腸造瘺組,差異有統計學意義(P <0.05)。兩組肺部感染、髮熱寒戰、反流、腸瘺、脫管髮生率差異無統計學意義(P >0.05)。鼻飼營養組肛門排氣時間(46.5±9.6)h、營養管留置時間(12.0±3.7)d,空腸造瘺組肛門排氣時間和營養管留置時間分彆為(34.6±7.4)h、(21.0±5.8)d,兩組比較差異均有統計學意義(P<0.05)。結論胃大部切除術中應用空腸造瘺管進行術後腸內營養較留置鼻飼營養管效果好,患者痛苦小,胃腸道功能恢複速度快,併髮癥少,是一種安全可靠的營養方式。
목적대비위대부절제술후공장조루여비사영양2충장내영양방식적림상료효。방법선택신강객십지구제일인민의원2010년7월-2013년3월수치적130례행위대부절제술적환자。기중채용비사영양관진행술후장내영양100례(비사영양조),채용공장조루관진행술후장내영양30례(공장조루조)。비교량조술후호흡도、소화도증상급영양관상관병발증지간적차이。결과비사영양조해수、해담、인부불괄、복창복통、악심구토급영양관도새발생솔균고우공장조루조,차이유통계학의의(P <0.05)。량조폐부감염、발열한전、반류、장루、탈관발생솔차이무통계학의의(P >0.05)。비사영양조항문배기시간(46.5±9.6)h、영양관류치시간(12.0±3.7)d,공장조루조항문배기시간화영양관류치시간분별위(34.6±7.4)h、(21.0±5.8)d,량조비교차이균유통계학의의(P<0.05)。결론위대부절제술중응용공장조루관진행술후장내영양교류치비사영양관효과호,환자통고소,위장도공능회복속도쾌,병발증소,시일충안전가고적영양방식。
Objective To compare the clinical efficacy of jejunostomy and conventional nasojejunal feeding tube in patients after subtotal gastrectomy.Methods The clinical data of 130 patients received subtotal gastrectomy between July 2010 and March 2013 were retrospectively analyzed.100 administrated nasojeju-nal feeding tube(Group nasojejunal)while 30 jejununostomy(Group jejununostomy).Complications of the respiratory system,gastrointestinal system and those relating to the tube were compared between two groups.Results Group nasoj ej unal showed a higher rate of postoperative complications including cough and sputum spiting,throat discomfort,abdominal pain and distention,nausea and vomiting,tube occlu-sion (P <0.05).With regard to complications including pneumonia,fever and chill,food reflux,tube dis-location,no statistical significance were observed (P >0.05).The time to flatus and length of tube main-tenance in Group nasojejunal were (46.5±9.6)h and (12.0±3.7)d,whereas they were (34.6±7.4)h and (21.0±5.8)d in Group jejununostomy,respectively,and statistical significance between groups were ob-served.Conclusion Jejunostomy was a rational,safe and effective choice for patients administrated subtotal gastrectomy,which showed less pain,quicker gastrointestinal recovery and lower postoperative complications.