空肠造瘘营养管与鼻空肠营养管在食管癌根治术中的应用效果比较

Comparison of jejunostomy nutrition tube and nasojejunostomy nutrition tube in radical resection of esophageal cancer

目的探讨空肠造瘘营养管与鼻空肠营养管在食管癌根治术中的应用效果比较。方法选取我院从2017年5月~2019年2月收治的80例食管癌根治术患者作为研究对象,依照随机数字表法分为两组。给予对照组开展鼻空肠营养管供给干预,给予研究组开展空肠造瘘营养管干预。比较两组的手术时间、住院时间、胃管留置时间、胸管留置时间等临床指标,干预前后血红蛋白(Hb)、淋巴细胞计数(TLC)、血清清蛋白(ALB)等营养状况,干预前后焦虑自评量表(SAS)评分,干预前后抑郁自评量表(SDS)评分,临床护理满意度。结果干预前,研究组与对照组在手术时间、Hb指标、TLC指标、ALB指标、SAS评分、SDS评分的差异无统计学意义(P>0.05);研究组干预后的住院时间为(15.75±2.02)d、胃管留置时间为(4.50±0.45)d,胸管留置时间为(4.30±0.35)d,均明显短于对照组,差异有统计学意义(P<0.05);研究组干预后的Hb为(139.35±6.40)g/L,TLC为(2.50±0.98)×109/L,ALB为(40.70±1.85)g/L,均明显高于对照组,差异有统计学意义(P<0.05);研究组干预后的SAS评分为(37.20±1.15)分,SDS评分为(38.55±1.30)分,均明显低于对照组,差异有统计学意义(P<0.05);研究组干预后的临床护理满意度为97.50%,均明显高于对照组,差异有统计学意义(P<0.05)。结论在食管癌根治术中应用空肠造瘘营养管供给干预的效果更优于鼻空肠营养管供给干预。

Objective To compare the effect of jejunostomy nutrition tube and nasojejunostomy nutrition tube in radical resection of esophageal cancer.Methods 80 patients with esophageal cancer who were treated in our hospital between May 2017 and February 2019 were divided into two groups using the random number table method.The control group was given nasojejunostomy tube intervention,and the study group was given jejunostomy tube intervention.The clinical indexes such as operation time,hospitalization stay,gastric tube retention time and chest tube retention time were compared between the two groups.The nutritional status of Hemoglobin(Hb),T lymphocyte(TLC),albumin(ALB),Self-Anxiety Scale(SAS),Self-depression Scale(SDS)and clinical nursing satisfaction were compared before and after the intervention.Results Before the intervention,there was no significant difference in operation time,Hb,TLC,ALB,SAS and SDS score between the two groups(P>0.05);after the intervention,the hospital stay of the study group was(15.75±2.02)d,the retention time of gastric tube was(4.50±0.45)d,and the retention time of chest tube was(4.30±0.35)d,which were significantly shorter than that of the control group,and the differences were statistically significant(P<0.05);After intervention,the Hb,TLC and ALB of the study group were(139.35±6.40)g/L,(2.50±0.98)×109/L and(40.70±1.85)g/L,respectively,which were significantly higher than those of the control group(P<0.05);the SAS and SDS scores of the study group were(37.20±1.15)and(38.55±1.30),respectively,which were significantly lower than those of the control group,and the differences were statistically significant(P<0.05);the clinical nursing satisfaction of the study group was 97.50%,which was significantly higher than that of the control group(P<0.05).Conclusion In radical resection of esophageal cancer,the efficacy of jejunostomy is better than that of nasojejunostomy.