CAJ | 학술논문

目的：观察早期肠内营养结合十二指肠营养管护理对食道癌术后患者康复的影响。方法回顾分析2008年3月至2014年3月食道癌术后患者63例的临床资料，其中对照组31例，术后给予肠外营养治疗；治疗组32例，术后给予肠内营养结合十二指肠营养管护理治疗。结果两组术后营养状况均较术前改善，治疗组疗效好于对照组( P＜0.05)；治疗组肠道功能恢复早于对照组( P＜0.05)；两组并发症发生率比较差异无统计学意义( P＞0.05)。结论早期肠内营养结合十二指肠营养管护理用于食道癌术后患者的康复，可改善患者营养状况、促进恢复，且应用安全，值得临床推广。
목적：관찰조기장내영양결합십이지장영양관호리대식도암술후환자강복적영향。방법회고분석2008년3월지2014년3월식도암술후환자63례적림상자료，기중대조조31례，술후급여장외영양치료；치료조32례，술후급여장내영양결합십이지장영양관호리치료。결과량조술후영양상황균교술전개선，치료조료효호우대조조( P＜0.05)；치료조장도공능회복조우대조조( P＜0.05)；량조병발증발생솔비교차이무통계학의의( P＞0.05)。결론조기장내영양결합십이지장영양관호리용우식도암술후환자적강복，가개선환자영양상황、촉진회복，차응용안전，치득림상추엄。
Objective To study the effect of early enteral nutritional combined with nursing of duodenal nutritional tube on the postoper-ative rehabilitation in patients with esophageal cancer. Methods The clinical data in 63 patients with esophageal cancer in our hospital from March 2008 to March 2014 were retrospectively analyzed. Among them, 31 cases in the control group were given the parenteral nutrition;while 32 cases in the treatment group were given enteral nutrition combined with the nursing of duodenal nutritional tube. The clinical effects were compared between the two groups. Results The postoperative nutrition status in the two groups was improved than before operation. And the effect in the treatment group was higher than that in the control group ( P < 0. 05 );the recovery of intestinal function in the treatment group was earlier than that in the control group ( P < 0. 05 ) . The occurrence rate of complications had no sta-tistically significant difference between two groups ( P > 0. 05 ) . Conclusion Early enteral nutritional combined with nursing of duodenal nutritional tube used in the postoperative rehabilitation in the patients with esophageal cancer can increase the nutritional status of the patients, promote their recovery, is safe in clinical application and deserves to be promoted in clinic.