CAJ | 학술논문

目的：探讨上消化道肿瘤病人，术后通过螺旋形鼻肠管或空肠造口管进行肠内营养（EN）与肠外营养（PN)临床效果的比较。方法对210例胃远端恶性肿瘤患者分为术前留置螺旋形鼻空肠营养管组（73例），术中行空肠造口管组（73例），肠外营养组（64例）。观察营养指标，排气排便时间，并发症的发生率，平均住院天数和住院费用。结果 EN组术后排气时间和术后平均住院时间均短于PN组，各项指标恢复速度均优于PN组。结论肠内营养使其肠道功能恢复快，改善营养状态，保护肠道功能。预防静脉营养带来的导管并发症的发生，同时减轻了患者的负担。
목적：탐토상소화도종류병인，술후통과라선형비장관혹공장조구관진행장내영양（EN）여장외영양（PN)림상효과적비교。방법대210례위원단악성종류환자분위술전류치라선형비공장영양관조（73례），술중행공장조구관조（73례），장외영양조（64례）。관찰영양지표，배기배편시간，병발증적발생솔，평균주원천수화주원비용。결과 EN조술후배기시간화술후평균주원시간균단우PN조，각항지표회복속도균우우PN조。결론장내영양사기장도공능회복쾌，개선영양상태，보호장도공능。예방정맥영양대래적도관병발증적발생，동시감경료환자적부담。
Objective To investigate clinical effective of enteral nutrition(EN) by nasojejunal feeding tube or jejunum fistual and parenteral nutrition after operation of upper gastrointestinal neoplasms.The EN group compared with PN group. Methods 210 upper gastrointestinal neoplasms patients parenteral nutrition were divided into three groups , nasojejunal feeding tube group(73), jejunum fistua group(73),parenteral nutrition group(64).to observe nutrition indicators,complication of postopreration ,exhausts and cacation of time ,average hospital stay,average cost of hospitalization . Results The EN group showed much faster complication of postopreration and hospital stay than PN group.The EN group showed much faster every indicators than PN group. Conclusion The EN group showed much faster recovery of gastrointestinal function than PN group,improve nutrition status ,prevention infection ,reduce the incidence of complication ,lower cost for patients .