肠梗阻导管减压后行肠内营养治疗梗阻性左半结直肠癌

Enteral nutrition in patients with obstructive left colon or rectal carcinomas following drainage with transanal tube for intestinal obstruction

目的探讨术前经肛放置肠梗阻导管联合肠内营养对梗阻性左结直肠癌的治疗作用。方法 2009年6月至2011年9月,对该院收治的梗阻性左结直肠癌患者24例实施经肛门置入肠梗阻导管减压,减压成功后给予肠内营养,治疗5～7d后实施手术。观察置管后第24小时、48h肠梗阻缓解率、净引流量(引出量-冲洗量)。检测入院时、术前1h的血红蛋白、血清白蛋白、转铁蛋白、前白蛋白。结果 24例患者中15例梗阻症状明显缓解,实施肠内营养后,术前1h各项营养指标对比均有显著改善。结论梗阻性左半结直肠癌经肛门置入肠梗阻导管减压成功后实施肠内营养是可行的,可以改善患者的营养状况。

Objective The aim of this study was to investigate the effects of enteral nutrition following drainage with transanal tube for intestinal obstruction on obstructive left colon or rectal carcinomas. Methods Forty-four left colon or rectal obstructive patients treated between June 2009 and September 2011 were decompressed by drainage with transanal tube, and enteral nutrition were performed after anesis of intestinal obstruction,. Operation was performed after five to seven days＇ treatment. Remission rates of colorectal obstruction, drainage measure at the time of 24 and 48 hours after drainage with transanal tube were observed. The hemoglobin, serum albumin, transferring, and prealbumin at the time of admission to hospotial, 1 hour before operation were tested. Results Obstruction symptoms was alleviated in 15of 24 patients, the nutritive index was ameliorated significantly. Conclusion Enteral nutrition is feasible in patients with obstructive left colon or rectal carcinomas after drainage with transanal tube. It can improve nutritional condition.