CAJ | 학술논문

目的：探究肠道营养支持在食管癌术后吻合口瘘的应用意义。方法将68例食管癌术后并发颈部吻合口瘘患者随机分成两组，对照组接受肠外营养支持治疗，实验组实施肠内营养支持治疗，对比两组临床治疗效果。结果实验组呼吸道感染发生率(17.65%vs 41.18%)明显低于对照组(P<0.05)，瘘愈合后第1天血清转铁蛋白(2.45±0.20)g/L vs (1.97±0.10)g/L显著高于对照组(P<0.05)。结论肠内营养支持疗法可提升食管癌术后并发颈部吻合口瘘患者机体蛋白合成，维护其肝脏功能。
목적：탐구장도영양지지재식관암술후문합구루적응용의의。방법장68례식관암술후병발경부문합구루환자수궤분성량조，대조조접수장외영양지지치료，실험조실시장내영양지지치료，대비량조림상치료효과。결과실험조호흡도감염발생솔(17.65%vs 41.18%)명현저우대조조(P<0.05)，루유합후제1천혈청전철단백(2.45±0.20)g/L vs (1.97±0.10)g/L현저고우대조조(P<0.05)。결론장내영양지지요법가제승식관암술후병발경부문합구루환자궤체단백합성，유호기간장공능。
Objective To explore the significance of application of enteral nutrition support in the anastomotic fistula in postopera-tive esophageal carcinoma. Methods 68 cases of postoperative complication of cervical anastomotic fistula in esophageal cancer af-ter resection were randomly divided into two groups, the control group received parenteral nutrition support treatment, the experi-mental group underwent enteral nutrition support treatment, compared clinical curative effect of two groups. Results The incidence of respiratory tract infection in experimental group (17.65%vs 41.18%) was significantly lower than that of control group (P<0.05), fistula healing after 1d of serum transferrin(2.45±0.20)g/L vs(1.97±0.10)g/L was significantly higher than that in control group (P<0.05). Conclusion Enteral nutrition support therapy can improve the postoperative esophageal cancer complicated with cervical anastomotic fistula patients body protein synthesis, maintain the function of liver.