CAJ | 학술논문

目的：探讨胃癌全胃切除术后肠内营养支持的效果。方法160例胃癌患者随机分为各80例的治疗组和观察组，两组都给予胃癌全胃切除术并顺利完成手术，对照组术后给予肠外营养支持，治疗组给予肠内营养支持，周期为10天。结果两组营养支持前PA与ALB对比差异无统计学意义（P>0.05），营养支持后PA与ALB值都升高，组间对比差异具有统计学意义（P<0.05）。治疗组营养支持期间吻合口瘘、营养不良、腹胀、腹泻、呕吐等并发症发生情况少于对照组（P<0.05）。结论胃癌全胃切除术后肠内营养支持能有效改善机体营养状况，减少并发症的发生。
목적：탐토위암전위절제술후장내영양지지적효과。방법160례위암환자수궤분위각80례적치료조화관찰조，량조도급여위암전위절제술병순리완성수술，대조조술후급여장외영양지지，치료조급여장내영양지지，주기위10천。결과량조영양지지전PA여ALB대비차이무통계학의의（P>0.05），영양지지후PA여ALB치도승고，조간대비차이구유통계학의의（P<0.05）。치료조영양지지기간문합구루、영양불량、복창、복사、구토등병발증발생정황소우대조조（P<0.05）。결론위암전위절제술후장내영양지지능유효개선궤체영양상황，감소병발증적발생。
Objective To study the effect of enteral nutrition support in patients with total gastrectomy for gastric cancer. Methods 160 cases of gastric cancer patients were randomly divided into treatment group and control group,respectively 80 cases. The patients in control group and treatment group were respectively given parenteral nutrition and enteral nutrition,cycle for ten days. Results There was no statistical difference about PA and ALB in two groups(P<0.05),PA and ALB values were increased after nutrition support(P<0.05). During the period of nutrition support,Anastomotic fistula, malnutrition,diarrhea,vomiting and other complications of treatment group were obviously less than control group(P<0.05). Conclusion To provide the gastric cancer patients enteral nutrition support after total gastrectomy can effectively improve the nutritional status of the body and reduce the occurrence of the complications.