内镜下胃造瘘术在胃肠内营养的临床应用价值分析

Clinical application of endoscopic gastritis in gastrointestinal nutrition

目的分析以内镜下胃造瘘术为胃肠内营养方式在临床的应用效果。方法以52例需接受胃肠营养治疗的患者作为观察者,并以随机数字表法将观察者随机分为两组,以接受鼻饲治疗者为对照组,以接受内镜下胃造瘘术治疗者为观察组,每组26例。对比两组接受治疗后的营养改善情况及治疗效果副作用发生率。结果两组治疗前、治疗7 d后及治疗14 d后总蛋白、白蛋白、淋巴细胞计数及血红蛋白含量比较均存在统计学差异,且均呈上升趋势(P<0.05)。同时两组间治疗前各指标比较无统计学差异(P>0.05),而在接受治疗7 d后及治疗14 d后观察组各指标均高于对照组(P<0.05)。同时两组在14 d的治疗时间内所出现的并发症发生率比较未见统计学差异(P<0.05)。结论内镜下胃造瘘术可在不降低治疗副作用发生率的同时改善患者的治疗后的营养状况。

Objective To analyze the effect of endoscopic gastric fistula operation in the clinical application of enteral nutrition. Methods 52 patients who were treated with gastrointestinal nutrition were regarded as the observation objects, and were randomly divided into two groups by the Random Number Table Method. Patients received nasal treatment as the control group, and received endoscopic gastritis treatment as observation group, 26 cases in each group. After treatment, the nutritional status and the incidence of side effects of therapeutic effects were compared in two groups. Results There were significant differences in total protein, albumin, lymphocyte count and hemoglobin content in two groups before treatment, and after 7d, 14d, and showed an upward trend （P〈0.05）. While each index between the two groups showed no significant difference before treatment （P〉0.05）, while receiving treatment after 7d and 14d after treatment, the observation group indexes were higher （P〈0.05）. At the same time, there was no significant difference in the incidence of complications between the two groups in the treatment time of 14d （P〈0.05）. Conclusions Endoscopic gastritis can improve the nutritional status of patients after treatment without reducing the incidence of side effects.