肠内营养对胃癌患者胃次全切术后胃瘫综合征的临床应用

Clinical application of enteral nutrition in postoperative gastroparesis syndrome after subtotal gastrectomy of gastric cancer patients

目的探讨运用肠内营养对预防和治疗胃癌患者胃次全切术后胃瘫综合征的作用。方法通过对1847例胃癌患者行胃次全切术后发生胃瘫综合征的56例患者治疗过程的分析，比较联合肠内营养与全肠外营养对术后胃瘫综合征的发生率及胃瘫发生后的恢复时间。结果联合肠内营养组胃瘫的发生率1．3％，全肠外营养组胃瘫的发生率为6．2％，两者相比差异有统计学意义（P〈0．05）；联合肠内营养组胃瘫的平均恢复时间为（10±3）d；全肠外营养组胃瘫的平均恢复时间为（24±4）d，两者比较差异有统计学意义（P〈0．05）。结论联合肠内营养可能较全静脉营养对术后胃肠功能恢复有更好的促进作用。

Objective To evaluate the effects of enteral nutrition in preventing and treating post- operative gastroparesis syndrome after subtotal gastrectomy of gastric cancer patients. Methods Fifty - six cases of postoperative gastroparesis syndrome after subtotal gastrectomy in 1847 cases gastric cancer patients were analyzed in the course of intreatment, compared postoperative gastroparesis syndrome incidence rate of enteral nutrition association with total parenteral nutrition, and the recovery time of them. Results 1.3 % cases suffered postoperative gastroparesis syndrome in the group of enteral nutrition association, 6.2% cases of the group of total parenteral nutrition. There was significant difference between two groups（ P 〈 0.05 ）. The mean recovery time of the group of enteral nutrition association is （10 ±3 ） days, and （24 ± 4 ） days of the group of total parenteral nutrition. There was significant difference between two groups （ P 〈 0.05 ）. Conclusions Enteral nutrition in promotion of functional rehabilitation after subtotal gastrectomy in gastric cancer patients are more effective.