CAJ | 학술논문

目的：观察术后早期肠内营养支持对胃癌患者手术后并发症的影响。方法：107例胃癌根治术后患者随机分为两组。观察组（59例）：术后早期24 h经空肠营养管行肠内营养；对照组（48例）：行静脉输液补充营养。观察两组患者术后首次肛门排气排便时间，术后住院日以及术后并发症发生率的差异。结果：早期肠内营养组与对照组相比，术后首次肛门排气时间[（52±18）h vs （81±35h）]、首次排便时间[（73±26） h vs （102±19） h]明显提前，术后住院时间[（9．7±4．1）d vs （13．2±6．4）d]明显缩短，两组比较差异显著（P＜0．05）。观察组切口感染并发症（1/59，1．7％）显著低于对照组（7/48，14．6％）（P＜0．05）；观察组术后感染总发生率（6/59，10．2％）显著低于对照组（12/48，25％）（P＜0．05）；总体并发症比较，观察组（14/59，23．7％）稍低于对照组（13/48，27．1％），但无统计学差异（P ＞0．05）。结论：胃癌患者术后早期行肠内营养支持是安全有效的，可促进术后胃肠功能恢复，缩短住院时间；并不增加术后并发症发生率，同时可以显著减少感染并发症的发生。
목적：관찰술후조기장내영양지지대위암환자수술후병발증적영향。방법：107례위암근치술후환자수궤분위량조。관찰조（59례）：술후조기24 h경공장영양관행장내영양；대조조（48례）：행정맥수액보충영양。관찰량조환자술후수차항문배기배편시간，술후주원일이급술후병발증발생솔적차이。결과：조기장내영양조여대조조상비，술후수차항문배기시간[（52±18）h vs （81±35h）]、수차배편시간[（73±26） h vs （102±19） h]명현제전，술후주원시간[（9．7±4．1）d vs （13．2±6．4）d]명현축단，량조비교차이현저（P＜0．05）。관찰조절구감염병발증（1/59，1．7％）현저저우대조조（7/48，14．6％）（P＜0．05）；관찰조술후감염총발생솔（6/59，10．2％）현저저우대조조（12/48，25％）（P＜0．05）；총체병발증비교，관찰조（14/59，23．7％）초저우대조조（13/48，27．1％），단무통계학차이（P ＞0．05）。결론：위암환자술후조기행장내영양지지시안전유효적，가촉진술후위장공능회복，축단주원시간；병불증가술후병발증발생솔，동시가이현저감소감염병발증적발생。
Objective:To observe the effects of early enteral nutritional support on postoperative complications in patients with gastric cancer . Methods:107 cases undergone radical resection of gastric cancer were randomized into experimental group ( Enteral nutrition via jejunal feeding tube in 24 h following the procedure,n=59) and control group( Conven-tional intravenous nutrition support,n =48).The two groups were com-pared pertinent to the time of first flatus and bowl movement ,the postoper-ative length of hospital stay and incidences of postoperative complications . Results: The time of first flatus [(52 ±18)h vs.(81 ±35)h] and bowel movement[(73 ±26)h vs.(102 ±19)h] and postoperative hospital stay [(9.7 ±4.1)d vs.(13.2 ±6.4)d)] were significantly shortened in the experimental group than those of the controls(P<0.05).The experimen-tal group also had significantly lower incidences of wound infection and to-tal postoperative complications than the control groups ( 1.7% vs. 14.6%,P<0.05).The general complications appeared somewhat lower in the experimental group(23.7%)than that of the contrls(27.1%),yet it had no statistical significance(P >0.05).Conclusion: Early enteral nutritional support seems safe and effective and may facilitate early recov-ery of the gastrointestinal function for patients following gastrectomy .In addition,this early intervention doesn′t result in increased risks of postop-erative complications,and differently leads to significantly reduced inci-dence of wound infection.