空肠造瘘双向置管在胰-十二指肠切除术后肠内营养的临床应用

The Therapeutic Effect of Enteral Nutrition Support by Double Direction Jejunum Tube Placing after Pancraticoduodenectomy

目的评价胰-十二指肠切除术后应用空肠造瘘双向置管行肠内营养支持的临床疗效。方法随机选取40例胰-十二指肠切除术中行空肠造瘘双向置管,术后经短时间静脉营养(肠道排气后),即通过空肠造瘘管行肠内营养;随机选取40例胰-十二指肠切除术中未行空肠造瘘双向置管者给予常规输液治疗。分为造瘘组和对照组,观察临床反应和测定血糖、肝肾功能、电解质和营养指标,比较两组患者营养状况、术后并发症、术后平均住院日和住院平均营养费用。结果造瘘组营养状况,术后并发症,术后平均住院日,住院平均营养费用均好于对照组。结论空肠造瘘双向置管可在胰-十二指肠切除手术中使用,肠内营养支持安全可靠,费用低廉,并有利于术后患者早日康复。

Objective To investigate the therapeutic effect of enteral nutrition support by double direction jejunum tube placing after pancraticoduodenectomy.Methods 80 patients were randomly divided into perioperative standard enteral nutrition group（n=40） and control group（n=40）.After a short time intravenous nutrition,enteral nutrition was given to patients by double direction jejunum tube which was placed in the operation.The control group was treated by routine therapy.Clinical response,blood glucose,liver-renal function,electrolytes and nutrition indicators were observed.Nutrition status,postoperative complications,average hospitalization days and the average nutrition cost were recorded.Results Comparing the control group,the patients in enteral nutrition group had better nutrition status and less postoperative complications,average hospitalization days and the average nutrition cost.Conclusion Double direction jejunum tube placing is recommended in pancraticoduodenectomy.Because it is safe,reliable,inexpensive,and beneficial to patients earlier recovery