临床医学工程
臨床醫學工程
림상의학공정
Clinical Medical & Engineering
2015年
11期
1441-1442,1445
,共3页
食管癌%营养方式%肝肾功能%胃肠功能
食管癌%營養方式%肝腎功能%胃腸功能
식관암%영양방식%간신공능%위장공능
Esophageal carcinoma%Nutritional way%Hepatorenal function%Gastrointestinal function
目的 探讨食管癌患者在手术后分别应用肠外营养与肠内营养对肝肾功能和胃肠功能的影响. 方法 选取我院2013年3月至2015年3月接受食管癌手术患者86例为研究对象, 以采用肠内营养患者43例为A组, 实施肠外营养患者43例为B组, 观察两组患者术后肝肾功能变化情况、 术后胃肠功能恢复情况及并发症发生情况. 结果 两组患者术后1 d ALT、 AST、 TB、BUN及Scr等肝、 肾功能指标情况无明显差异 (P>0.05), 均存在一定异常; 术后7 d均有改善, A组上述指标水平明显优于B组, 差异有统计学意义 (P<0.05). A组术后首次肛门排气、 肠鸣音恢复及首次排便时间显著短于B组, 差异有统计学意义 (P<0.05). A组术后并发症发生率为4.65%, 显著低于B组的20.93%, 差异有统计学意义 (P<0.05). 结论 对于食管癌患者, 术后给予肠内营养支持, 能有效改善肝肾功能和胃肠功能, 促进术后恢复, 降低并发症发生率, 值得推广.
目的 探討食管癌患者在手術後分彆應用腸外營養與腸內營養對肝腎功能和胃腸功能的影響. 方法 選取我院2013年3月至2015年3月接受食管癌手術患者86例為研究對象, 以採用腸內營養患者43例為A組, 實施腸外營養患者43例為B組, 觀察兩組患者術後肝腎功能變化情況、 術後胃腸功能恢複情況及併髮癥髮生情況. 結果 兩組患者術後1 d ALT、 AST、 TB、BUN及Scr等肝、 腎功能指標情況無明顯差異 (P>0.05), 均存在一定異常; 術後7 d均有改善, A組上述指標水平明顯優于B組, 差異有統計學意義 (P<0.05). A組術後首次肛門排氣、 腸鳴音恢複及首次排便時間顯著短于B組, 差異有統計學意義 (P<0.05). A組術後併髮癥髮生率為4.65%, 顯著低于B組的20.93%, 差異有統計學意義 (P<0.05). 結論 對于食管癌患者, 術後給予腸內營養支持, 能有效改善肝腎功能和胃腸功能, 促進術後恢複, 降低併髮癥髮生率, 值得推廣.
목적 탐토식관암환자재수술후분별응용장외영양여장내영양대간신공능화위장공능적영향. 방법 선취아원2013년3월지2015년3월접수식관암수술환자86례위연구대상, 이채용장내영양환자43례위A조, 실시장외영양환자43례위B조, 관찰량조환자술후간신공능변화정황、 술후위장공능회복정황급병발증발생정황. 결과 량조환자술후1 d ALT、 AST、 TB、BUN급Scr등간、 신공능지표정황무명현차이 (P>0.05), 균존재일정이상; 술후7 d균유개선, A조상술지표수평명현우우B조, 차이유통계학의의 (P<0.05). A조술후수차항문배기、 장명음회복급수차배편시간현저단우B조, 차이유통계학의의 (P<0.05). A조술후병발증발생솔위4.65%, 현저저우B조적20.93%, 차이유통계학의의 (P<0.05). 결론 대우식관암환자, 술후급여장내영양지지, 능유효개선간신공능화위장공능, 촉진술후회복, 강저병발증발생솔, 치득추엄.
Objective To explore the impact of enteral nutrition and parenteral nutrition after operation of esophageal carcinoma on hepatorenal function and gastrointestinal function . Methods 86 patients with operation of esophageal carcinoma admitted to our hospital from March 2013 to March 2015 were selected as research objects. After surgery, 43 cases of enteral nutrition were set as group A, and 43 cases of parenteral nutrition were set as group B. The change of hepatorenal function, recovery of gastrointestinal function and incidence of complications after operation were observed. Results One day after operation, hepatorenal function indicators including ALT, AST, TB, BUN and Scr of both groups had no statistically significant change (P>0.05);7 days after operation, all the indicators improved, and group A was superior to group B (P<0.05). The first time of anus exhaust, time of intestinal sound recovery and first defecation time after operation in group A were significantly shorter than those in group B (P<0.05). The incidence of postoperative complications was 4.65%in group A, significantly lower than 20.93%in group B (P<0.05). Conclusions For patients with esophageal carcinoma, postoperative enteral nutrition can effectively improve hepatorenal function and gastrointestinal function, improve postoperative recovery, and reduce the incidence of complications, which is worthy of application.
