肿瘤研究与临床
腫瘤研究與臨床
종류연구여림상
CANCER RESEARCH AND CLINIC
2014年
7期
470-472
,共3页
张毅勋%刘海义%李耀平%王文渊
張毅勛%劉海義%李耀平%王文淵
장의훈%류해의%리요평%왕문연
肠道营养%结肠肿瘤%康复
腸道營養%結腸腫瘤%康複
장도영양%결장종류%강복
Enteral nutrition%Colonic neoplasms%Rehabilitation
目的 探讨早期肠内营养在结肠癌手术患者中的临床应用.方法 将结肠癌患者90例按数字表法随机分为肠内营养组、留置胃管组及对照组,每组30例.对照组常规治疗,留置胃管组给予术后间断夹闭胃管并给予肠内营养,肠内营养组术后早期给予拔除胃管同时给予肠内营养.观察术后排气、排便时间、术后住院时间及营养学指标.结果 术后三组之间排气时间、排便时间、术后住院时间差异有统计学意义[肠内营养组:(50.07±11.59)h、(76.75±27.37)h、(10.11±1.57)d;对照组:(62.03±12.31)h、(90.67±25.64)h、(11.80±1.83)d;留置胃管组:(43.53±11.94)h、(61.17±22.67)h、(8.70±1.53)d;均P＜ 0.05],留置胃管组住院时间最短,术后排气、排便最早.术后1周患者血红蛋白、血浆清蛋白在留置胃管组、肠内营养组与对照组间差异有统计学意义(均P＜0.05),三组术后与术前相比均有不同程度下降,但术后留置胃管组与单纯营养组间差异无统计学意义(P＞0.05).结论 结肠癌患者术后留置胃管并同时给予肠内营养是合理的选择.
目的 探討早期腸內營養在結腸癌手術患者中的臨床應用.方法 將結腸癌患者90例按數字錶法隨機分為腸內營養組、留置胃管組及對照組,每組30例.對照組常規治療,留置胃管組給予術後間斷夾閉胃管併給予腸內營養,腸內營養組術後早期給予拔除胃管同時給予腸內營養.觀察術後排氣、排便時間、術後住院時間及營養學指標.結果 術後三組之間排氣時間、排便時間、術後住院時間差異有統計學意義[腸內營養組:(50.07±11.59)h、(76.75±27.37)h、(10.11±1.57)d;對照組:(62.03±12.31)h、(90.67±25.64)h、(11.80±1.83)d;留置胃管組:(43.53±11.94)h、(61.17±22.67)h、(8.70±1.53)d;均P＜ 0.05],留置胃管組住院時間最短,術後排氣、排便最早.術後1週患者血紅蛋白、血漿清蛋白在留置胃管組、腸內營養組與對照組間差異有統計學意義(均P＜0.05),三組術後與術前相比均有不同程度下降,但術後留置胃管組與單純營養組間差異無統計學意義(P＞0.05).結論 結腸癌患者術後留置胃管併同時給予腸內營養是閤理的選擇.
목적 탐토조기장내영양재결장암수술환자중적림상응용.방법 장결장암환자90례안수자표법수궤분위장내영양조、류치위관조급대조조,매조30례.대조조상규치료,류치위관조급여술후간단협폐위관병급여장내영양,장내영양조술후조기급여발제위관동시급여장내영양.관찰술후배기、배편시간、술후주원시간급영양학지표.결과 술후삼조지간배기시간、배편시간、술후주원시간차이유통계학의의[장내영양조:(50.07±11.59)h、(76.75±27.37)h、(10.11±1.57)d;대조조:(62.03±12.31)h、(90.67±25.64)h、(11.80±1.83)d;류치위관조:(43.53±11.94)h、(61.17±22.67)h、(8.70±1.53)d;균P＜ 0.05],류치위관조주원시간최단,술후배기、배편최조.술후1주환자혈홍단백、혈장청단백재류치위관조、장내영양조여대조조간차이유통계학의의(균P＜0.05),삼조술후여술전상비균유불동정도하강,단술후류치위관조여단순영양조간차이무통계학의의(P＞0.05).결론 결장암환자술후류치위관병동시급여장내영양시합리적선택.
Objective To investigate the clinical application of early postoperative enteral nutrition in patients undergoing colon cancer operation.Methods 90 patients suffering from colon cancer were randomly divided into the enteral nutrition group,indwelling stomach tube group and the control group.The control group was given conventional treatment and the indwelling gastric tube group was received postoperative intermittent clamping of stomach tube and enteral nutrition.Moreover,patients in the enteral nutrition group were pulled out the tube on the first postoperative day while giving enteral nutrition.All patients were observed for exhaust defecation time,length of hospital stay postoperative and nutrition indicators.Results Exhaust defecation time,length of hospital stay postoperative had significant difference among three groups.Indwelling stomach tube group set minimum length of stay and first passage of flatus and defecation in the three groups [the enteral nutrition group:(50.07±11.59) h,(76.75±27.37) h,(10.1 1±1.57) d,the control group:(62.03±12.31) h,(90.67±25.64) h,(11.80±1.83) d,indwelling stomach tube group:(43.53±11.94) h,(61.17± 22.67) h,(8.70±1.53) d (P ＜ 0.05)].The levels of hemoglobin and plasma albumin one week after operation were statistically lower than pre-operation,while that the level of these nutrition indicators were higher in indwelling stomach tube group compare to control group (all P ＜ 0.05).The same result was observed between enteral nutrition group and control group.Whereas,the change of nutrition indicators between the enteral nutrition group and the control group was not statistical significant (P ＞ 0.05).Conclusion Indwelling stomach tube combined with enteral nutrition is a reasonable choice for patients after colonic cancer surgery.
