CAJ | 학술논문

　　目的：观察腹腔镜手术后肠内营养管滴注归脾汤治疗胃癌根治术后疲劳综合征的效果。方法：将58例胃癌手术患者随机分为开腹组19例、腹腔镜组19例、腹腔镜归脾汤组20例，术后第2~8 d均给予肠内营养支持，腹腔镜归脾汤组同时予肠内营养管滴注归脾汤100 mL/d，共用7 d；用视觉模拟疲劳尺、心境量表分别评估手术前后疲劳程度、心境变化；术后2、8 d检测蛋白水平、T淋巴细胞亚群(CD4、CD8)。结果：腹腔镜归脾汤组恢复更快，心境状态和术后疲劳程度优于开腹组和腹腔镜组(P＜0.05)；术后8 d血清前白蛋白、白蛋白、CD4、CD4/CD8均比开腹组和腹腔镜组相应指标增高(P＜0.05)。结论：胃癌采用腹腔镜手术，术后早期行肠内营养联合归脾汤滴注是安全且有效的，能改善机体的营养状态和术后疲劳综合征。
　　목적：관찰복강경수술후장내영양관적주귀비탕치료위암근치술후피로종합정적효과。방법：장58례위암수술환자수궤분위개복조19례、복강경조19례、복강경귀비탕조20례，술후제2~8 d균급여장내영양지지，복강경귀비탕조동시여장내영양관적주귀비탕100 mL/d，공용7 d；용시각모의피로척、심경량표분별평고수술전후피로정도、심경변화；술후2、8 d검측단백수평、T림파세포아군(CD4、CD8)。결과：복강경귀비탕조회복경쾌，심경상태화술후피로정도우우개복조화복강경조(P＜0.05)；술후8 d혈청전백단백、백단백、CD4、CD4/CD8균비개복조화복강경조상응지표증고(P＜0.05)。결론：위암채용복강경수술，술후조기행장내영양연합귀비탕적주시안전차유효적，능개선궤체적영양상태화술후피로종합정。
Objective To evaluate the effect of the Guipi Tang on treatment for postoperative fatigue syn-drome (POFS) in the post-laparoscopic gastric cancer resection patients. Methods Fifty eight patients cases who underwent gastric cancer resection were randomly divided into 3 groups: open resection group A, 19 cases, laparoscopic resection group B, 19 cases, laparoscopic resection with Guipi Tang infusion (归脾汤) group C, 20 cases, all patients were given the enteral nutrition from post-operative day 2 to 8, while patients in group A were given with additional Guipi Tang. The visual analog scales(VAS), profile of mood states (POMS), the serum protein concentration and the T lymphocyte subsets count (CD4、CD8) were observed. Results Patients in group C were recovered more quickly than those in other groups, and the VAS、POMS were better than those in groups A and B (P<0.05),in the postoperative day 8; the pre-protein, protein, CD4, CD8 were better in group C than those in group A or B(P<0.05). Conclusion Using the laparoscope for treating gastric cancer is effec-tive and safe, additional nutrition supplement and Guipi Tang by the enteral way in the early postoperative stage can improve the nutritious status and POFS.