CAJ | 학술논문

目的：观察胃切除术后早期肠内营养对患者术后恢复情况的影响。方法将87例行近端胃大部切除手术或全胃切除术患者，随机分成3组，A组术后立即给予肠内滴注自配营养液，B组术后肛门排气再肠内滴注自配营养液，C组给予肠外营养。观察三组患者术后情况以及住院期间营养费用等。结果三组患者术后腹胀、腹痛、肺部感染及腹泻的发生率比较均无明显差异（P＞0．05）；均未出现肠梗阻和胃肠道出血；肛门排气排便时间和住院时间营养费A组与B、C组比较均有显著性差异（P＜0．05）。结论对全胃或近端胃大部切除术后的患者早期给予肠内营养，不但能促进肠道功能的恢复，促进肛门排气排便，而且能明显减少患者住院期间营养费用，值得在临床治疗中推广使用。
목적：관찰위절제술후조기장내영양대환자술후회복정황적영향。방법장87례행근단위대부절제수술혹전위절제술환자，수궤분성3조，A조술후립즉급여장내적주자배영양액，B조술후항문배기재장내적주자배영양액，C조급여장외영양。관찰삼조환자술후정황이급주원기간영양비용등。결과삼조환자술후복창、복통、폐부감염급복사적발생솔비교균무명현차이（P＞0．05）；균미출현장경조화위장도출혈；항문배기배편시간화주원시간영양비A조여B、C조비교균유현저성차이（P＜0．05）。결론대전위혹근단위대부절제술후적환자조기급여장내영양，불단능촉진장도공능적회복，촉진항문배기배편，이차능명현감소환자주원기간영양비용，치득재림상치료중추엄사용。
Objective To observe the effect of early enteral nutrition infusion on the rehabilitation of patients underwent gastrectomy.Methods 87 patients who received proximal gastrectomy or total gastrectomy were randomly divided into 3 groups. Group A received enteral nutrition infusion immediately after operation ,group B received enteral nutrition infusion after passing gas,and group C received parenteral nutrition .Postoperative situation and nutrition expenses during hospitalization of the 3 groups were observed.Results In the3 groups,there was no significant difference in the occurrence of abdominal distension ,abdominal pain,pulmonary infection and diarrhea ( P >0.05).No intestinal obstruction and gastrointestinal bleeding occurred in the 3 groups.Compared group A with group B and C ,there were significant differences in the anal exhaust time and nutrition expenses during hospitalization(P<0.05).Conclusion For the patients who received total gastrectomy or proximal gastrectomy ,early en-teral nutrition can not only promote the recovery of intestinal function and the anal exhaust defecation ,but also can reduce the nu-trition expenses during hospitalization .It is worthy of clinical application .