中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
18期
32-33
,共2页
胃癌切除术%吻合口瘘%肠内外营养支持
胃癌切除術%吻閤口瘺%腸內外營養支持
위암절제술%문합구루%장내외영양지지
Resection of gastric cancer%Anastomotic fistula%Enteral and parenteral nutritional support
目的 探讨肠内外营养支持对胃癌切除术后并发吻合口瘘患者的影响.方法 以安阳市人民医院2011年4月至2013年12月收治的50例胃癌切除术后并发吻合口瘘患者为研究对象,随机将其分为两组,每组25例,对照组给予肠外营养支持,实验组行肠内外结合营养支持,对两组干预前后营养指标、住院时间及并发症等情况进行比较.结果 实验组肛门排气时间、住院时间分别为(3.02±0.58)d、(30.24±6.35)d,明显短于对照组的(4.95±0.80)d、(30.24±6.35)d,差异有统计学意义(P＜0.01).同时两组治疗后前白蛋白[(296.59±50.25) mg/L vs(240.17±40.10) mg/L]、转铁蛋白[(2.88±0.36) mg/L vs (2.00±0.14) mg/L]、血清白蛋白[(36.13±3.49) g/L vs(33.08±4.20) g/L]水平比较差异有统计学意义(P＜0.05).另外两组并发症发生率比较差异未见统计学意义(P＞0.05).结论 肠内外结合营养支持治疗能明显改善患者的营养状况,减少相关并发症,缩短住院时间.
目的 探討腸內外營養支持對胃癌切除術後併髮吻閤口瘺患者的影響.方法 以安暘市人民醫院2011年4月至2013年12月收治的50例胃癌切除術後併髮吻閤口瘺患者為研究對象,隨機將其分為兩組,每組25例,對照組給予腸外營養支持,實驗組行腸內外結閤營養支持,對兩組榦預前後營養指標、住院時間及併髮癥等情況進行比較.結果 實驗組肛門排氣時間、住院時間分彆為(3.02±0.58)d、(30.24±6.35)d,明顯短于對照組的(4.95±0.80)d、(30.24±6.35)d,差異有統計學意義(P＜0.01).同時兩組治療後前白蛋白[(296.59±50.25) mg/L vs(240.17±40.10) mg/L]、轉鐵蛋白[(2.88±0.36) mg/L vs (2.00±0.14) mg/L]、血清白蛋白[(36.13±3.49) g/L vs(33.08±4.20) g/L]水平比較差異有統計學意義(P＜0.05).另外兩組併髮癥髮生率比較差異未見統計學意義(P＞0.05).結論 腸內外結閤營養支持治療能明顯改善患者的營養狀況,減少相關併髮癥,縮短住院時間.
목적 탐토장내외영양지지대위암절제술후병발문합구루환자적영향.방법 이안양시인민의원2011년4월지2013년12월수치적50례위암절제술후병발문합구루환자위연구대상,수궤장기분위량조,매조25례,대조조급여장외영양지지,실험조행장내외결합영양지지,대량조간예전후영양지표、주원시간급병발증등정황진행비교.결과 실험조항문배기시간、주원시간분별위(3.02±0.58)d、(30.24±6.35)d,명현단우대조조적(4.95±0.80)d、(30.24±6.35)d,차이유통계학의의(P＜0.01).동시량조치료후전백단백[(296.59±50.25) mg/L vs(240.17±40.10) mg/L]、전철단백[(2.88±0.36) mg/L vs (2.00±0.14) mg/L]、혈청백단백[(36.13±3.49) g/L vs(33.08±4.20) g/L]수평비교차이유통계학의의(P＜0.05).령외량조병발증발생솔비교차이미견통계학의의(P＞0.05).결론 장내외결합영양지지치료능명현개선환자적영양상황,감소상관병발증,축단주원시간.
Objective To investigate the effect of parenteral and enteral nutrition support on patients with anastomosis fistula after resection of gastric cancer.Methods From April 2011 to December 2013,50 patients with anastomosis fistula after resection of gastric cancer in our hospital were selected as research objects,and were randomly divided into two groups with 25 cases in each group.The patients in control group were treated with parenteral nutrition support,and the patients in experiment group underwent enteral combined with nutritional support.Before and after intervention,the nutrition index,hospital stay and complications were compared.Results In the experiment group,the anal exhaust time,hospitalization time was (3.02 ± 0.58) d,(30.24 ± 6.35) d,which were significantly shorter than those of the control group [(4.95 ±0.80) d,(30.24 ±6.35) d] (P＜0.01).At the same time,after treatment,the serum prealbumin[(296.59 ± 50.25)mg/L vs(240.17 ±40.10) mg/L],transferrin [(2.88 ± 0.36) mg/L vs(2.00 ± 0.14) mg/L],serum albumin[(36.13 ±3.49)g/L vs(33.08 ±4.20)g/L] level differences were significant (P ＜ 0.05).In the other two groups,the incidence of complications had no significant difference (P ＞ 0.05).Conclusions Eenteral and parenteral nutrition support treatment can obviously improve the nutritional status,reduce complications,and shorten hospitalization time.
