CAJ | 학술논문

目的：对比开腹与腹腔镜下手术治疗胃肠肿瘤患者的营养状况。方法120例胃肠肿瘤患者根据随机抽签原则分为治疗组与对照组，各60例。对照组给予开腹手术治疗，治疗组给予腹腔镜下手术治疗。结果2组术后的营养合格率分别为90．0％和75．0％，都明显高于术前（P＜0．05）；同时术后治疗组的营养合格率明显高于对照组（P＜0．05）。术后2组的血清白蛋白与前白蛋白值都呈现明显上升的趋势（P＜0．05）；同时术后治疗组的血清白蛋白与前白蛋白值明显高于对照组（P＜0．05）。治疗组术后感染、腹痛、腹泻、恶心呕吐等并发症发生情况明显低于对照组（P＜0．05）。治疗组术后精神状态、睡眠、疲乏程度、日常生活评分明显高于对照组（P＜0．05）。结论相对于开腹手术，腹腔镜下手术治疗胃肠肿瘤能有效改善机体内营养状况，减少术后并发症的发生，从而提高患者生活质量。
목적：대비개복여복강경하수술치료위장종류환자적영양상황。방법120례위장종류환자근거수궤추첨원칙분위치료조여대조조，각60례。대조조급여개복수술치료，치료조급여복강경하수술치료。결과2조술후적영양합격솔분별위90．0％화75．0％，도명현고우술전（P＜0．05）；동시술후치료조적영양합격솔명현고우대조조（P＜0．05）。술후2조적혈청백단백여전백단백치도정현명현상승적추세（P＜0．05）；동시술후치료조적혈청백단백여전백단백치명현고우대조조（P＜0．05）。치료조술후감염、복통、복사、악심구토등병발증발생정황명현저우대조조（P＜0．05）。치료조술후정신상태、수면、피핍정도、일상생활평분명현고우대조조（P＜0．05）。결론상대우개복수술，복강경하수술치료위장종류능유효개선궤체내영양상황，감소술후병발증적발생，종이제고환자생활질량。
Objective To compare the nutritional status of open and laparoscopic surgery for patients with gastrointesti-nal cancer.Methods 120 gastrointestinal cancer patients were randomly divided into the treatment group and the control group, the control group received open surgery,the treatment group were received laparoscopic surgery.Results The postoperative nutri-tional qualified rates in the control group and the treatment group were 75.0%and 90.0%,respectively,which were significantly higher than before the surgery(P<0.05),while the postoperative nutritional qualified rates in the treatment group was signifi-cantly higher than that of the control group(P<0.05).The postoperative serum albumin and prealbumin value increased signifi-cantly (P<0.05),while the postoperative serum albumin and prealbumin in the treatment group were significantly higher than those of the control group(P<0.05).The postoperative infection,abdominal pain,diarrhea,nausea,vomiting and other complica-tions in the treatment group were significantly lower than those of the control group (P<0.05).The postoperative mental state, sleep,tiredness,daily life scores in the treatment group were significantly higher than those of the control group(P<0.05).Con-clusion Compared with open surgery,laparoscopic surgery for gastrointestinal cancer can effectively improve the nutritional sta-tus of the body,reduce the incidence of postoperative complications,thereby improve the quality of life of patients.