全胃切除术后经空肠造口行早期肠内营养的临床研究

The clinical reseach of early enteral nutrition through jejunostomy after total gastrectomy

目的 :通过对全胃切除术后经空肠造口早期给予肠内营养治疗的观察 ,评价其疗效及可行性。 方法 :选择本院收治的胃癌全胃切除病人 2 5例 ,随机分为两组 ,Ⅰ组 (对照组 ) 12例 ,术后接受外周静脉营养 ;Ⅱ组 (试验组 )13例 ,术后 2 4h开始经空肠造口行肠内营养治疗 (连续 7天 ) ,两组基本等热量 ,并对两组病人术前、术后进行营养状态评价 ,比较术后肠功能恢复及住院费用等。 结果 :试验组病人术后体重及营养状态均较对照组有明显改善 ,两组差异显著 (P <0 .0 1)。而且试验组术后平均住院时间明显短于对照组 (P <0 .0 1)。 结论 :全胃切除术后经空肠造口行早期肠内营养治疗 ,不仅安全、可靠、简便、经济 。

Objectives:To investigate the effect of early enteral nutrition after total gastrectomy and evaluate its feasibility. Methods:25 cases of postoprative patients of stomacch carcinoma after total gastrectomy were selected and is divided into two groups at random.12 cases (control group) had accepted parenteral nutrition after operation.13 cases(test group) had accepted enteral nutrition after 24 hours of the operation though jejunostomy.The study continued for 7 days. The energy was equal approximately between groups.The nutrition state was evaluated in two groups before and after operation,and the recovery of intestinal function and hospitalized charge were compared too. Results:The postoperative body weight and nutrition state in the test group were better than those in control group and the differnces were very significant( P <0.01).The average hospital stay time in postoperative patients of test group was shorter significantly than that of control group( P <0.01). Conclusions:The early enteral nutrition through jejunostomy after total gastrectomy is safe,reliable,simple, and economical.The enteral nutrition can improve the nutrition state of postoperative patients effectively.