鼻空肠管和空肠造瘘管置入术的疗效对比

Comparative clinical study of nasojejunal and jejunostomy tube implants

目的:评估鼻空肠管与空肠造瘘管置入术在全胃切除术患者中行肠内营养的效果。方法:将86例进展期胃癌患者随机分为两组,A组:43例采用鼻空肠管置入术行肠内营养治疗;B组:43例运用空肠造瘘管置入术进行肠内营养治疗,比较两组肠内营养疗效及并发症。结果:B组肛门排气时间、排便时间比A组更短(P<0.05);B组术后营养指标优于A组(P>0.05);A、B组耐受性差异有统计学意义(P<0.05);并发症发生率两组不存在明显差异(P>0.05)。结论:对全胃切除术后患者实施空肠造瘘管置入术行肠内营养,耐受性更好,放置时间更长,可以显著改善患者的营养状态。

Objective： To evaluate the intestinal trophic effects and adverse reactions of nasojejunal and jejunostomy tube im-plants on patients with total gastrectomy. Methods：A total of 86 patients with advanced gastric cancer were randomly and equally di-vided into two groups. Groups A and B received enteral nutrition therapies through nasojejunal and jejunostomy feeding tube implants, respectively. The therapeutic efficacy of the two methods of enteral nutrition therapy and the corresponding adverse reactions observed in the two groups were compared. Results：Group B patients demonstrated shorter anal evacuation and defecation times than group A patients, the difference is statistically significant （P〈0.05）. Moreover, the bodyweight, total protein, and albumin levels of the patients significantly decreased in both groups after enteral nutrition therapy was administered （P〈0.05）. Postoperative nutritive indexes were higher in group B than in group A;however, no significant difference was obtained between the two groups （P〉0.05）. Nonetheless, the patients in group B tolerated the treatment well compared with those in group A （P〈0.05）. The complication rates of groups A and B were 18.6%and 23.3%, respectively, but this difference was not significant （P〉0.05）. Conclusion：Patients subjected to total gastrecto-my showed higher tolerance to jejunal tube implants for enteral nutrition than to nasojejunal tube implants, indicating that jejunal tube implants can be used to improve the nutritional status of patients.