贲门癌术中留置金属导芯硅胶鼻肠管的临床研究

Clinical study on the nutrition tube put in jejunum in operation of cardiac carcinoma

目的探讨贲门癌术后早期肠内营养的可行性、安全性及临床效果。方法贲门癌患者术中留置金属导芯硅胶鼻饲管,术后第1天开始肠内营养支持,术前及术后第10天,分别测量体重,检测血红蛋白浓度及肝肾功能,观察肠内营养的副作用。结果全组鼻饲管留置时间平均15.2d;术后早期肠内营养明显增加了营养物质的摄入量,术后无明显的体重丢失,未见需要终止治疗的并发症。结论早期肠内营养治疗具有符合生理、减少医药费用等优点,该置管方法安全、简便,达到了加强术后患者营养支持的目的,可列入术后常规应用。

Objective To explore the feasibility, safety and clinical effectiveness of early enteral nutrition after the surgical treatment of cardiac carcinoma.Methods A wire-assisted nasal-jejunum silica-gel tube was placed in patients with cardiac carcinoma in operation. Enteral nutritional support was started on the first postoperative day. The patient's body weight,Hb,hepatic and renal functions were measured preoperatively and on the 10th postoperative day.The ill effect of enteral nutrition was observed.Results The nasal-jejunum tube was placed for a mean time of 15.2 days. The early enteral nutritional support could evidently increase the intake of nutrition. The body weight loss was not evident. There was no serious complication caused by the enteral nutrition and leading to stop of feeding.Conclusions Early enteral nutritional therapy had many advantages, such as benefiting the patient physiologically, lowering medical expense,etc. It was safe and convenient to strengthen nutritional support and could be a routine postoperative therapeutic method.