摘要
目的比较经鼻置管-肠内营养与经空肠造瘘-肠内营养的临床效果。方法选取2013年6月-2018年6月在我科行胃癌根治术的年龄介于50~80岁患者61例,采用随机分组对照研究的方法,将61例患者分为对照组即经鼻-空肠管组(NF组)30例和实验组即经空肠造瘘-空肠管组(EJ组)31例。比较两组拔除空肠营养管时间、出-入院体重差、意外脱管堵管发生率、吻合口瘘发生率。结果与对照组相比,实验组的拔管时间明显缩短(P<0.05),实验组的出-入院体重差明显较小(P<0.05),实验组的意外脱管堵管发生率较低(P<0.05)。两组之间的吻合口发生率无明显统计学差异(P>0.05)。结论相比经鼻-空肠管组(NF组),经空肠造瘘-空肠管组(EJ组)拔管时间较短、体重丢失较少、意外脱管堵管发生率较低。
Objective To investigate the clinical effects between nasal feeding-enteral nutrition(NF group)and endoscopic jejunostomy-enteral nutrition(EJ group).Methods:Sixty-one cases of patients with radical gastrectomy for cancer were randomly divided into NF group(n=30)and EJ group(n=31).Extubation time,weight difference between admission and discharge,the occurrence rate of tube knock out and tube plugging,the occurrence rate of anastomotic leakage were recorded.Results Compared with NF group,extubation time in the EJ group were shorter(P<0.05).Compared with NF group,weight difference and the occurrence rate of tube knock out and tube plugging in EJ group were lower(P<0.05).There is no statistical difference between NF group and EJ group(P>0.05).Conclusion Endoscopic jejunostomy-enteral nutrition provides benefits for the patients with radical gastrectomy for cancer.
基金
论文相关课题名称:加味扶正抑瘤汤联合HIPEC治疗晚期胃癌腹膜转移气阴两虚型患者的临床观察(课题编号:2018KT1063)
