双通道重建手术与全胃切除术对胃癌患者预后的影响

Effects of Dual-channel Reconstruction Surgery and Total Gastrectomy on Postoperative Nutritional Status of Patients with Gastric Cancer

目的探讨双通道重建手术与全胃切除术对胃癌患者预后的影响。方法将2019年9月-2020年9月在山东省淄博市第四人民医院外科行手术治疗的50例胃癌患者纳入研究,并按手术类型分成A组(n=25,行全胃切除术)与B组(n=25,行全胃切除术联合双通道重建手术),所有患者均给予营养支持,对比两组患者术后营养状况。结果A、B组患者住院期间血红素、总蛋白、白蛋白、前清蛋白等营养指标对比,组间差异无统计学意义(P>0.05)。术后1个月A、B组患者每日进食量分别为(270.32±36.34)g与(362.21±45.87)g,进食频率分别为(3.10±0.97)次与(5.38±1.41)次,体质量增加量分别为(2.04±0.69)kg与(3.71±1.38)kg,组间差异有统计学意义(t=7.851、6.661、5.412,P<0.001)。结论双通道重建手术与全胃切除术均可改善胃癌患者症状,联合治疗效果更为显著,可提升患者预后质量。

Objective To investigate the effects of dual-channel reconstruction surgery and total gastrectomy on postoperative of gastric cancer patients.Methods Fifty patients with gastric cancer who underwent surgical treatment at the Fourth People's Hospital of Zibo City,Shandong Province from September 2019 to September 2020 were included in the study,and were divided into group A(n=25,total gastrectomy)compared with group B(n=25,total gastrectomy combined with dual-channel reconstruction surgery)according to the type of surgery,all patients were given nutritional support,and the postoperative nutritional status of the two groups was compared.Results The comparison of nutritional indicators such as hemoglobin,total protein,albumin,and prealbumin during hospitalization in the group A and group B was not statistically significant(P>0.05).One month after the operation,the daily food intake of patients in group A and group B was(270.32±36.34)g and(362.21±45.87)g,the frequency of eating was(3.10±0.97)times and(5.38±1.41)times,and the weight gain was respectively(2.04±0.69)kg and(3.71±1.38)kg,the difference between groups was statistically significant(t=7.851,6.661,5.412,P<0.001).Conclusion Both dual-channel reconstruction surgery and total gastrectomy can improve the symptoms of gastric cancer patients,and the combined treatment effect is more significant,which can improve the quality of the prognosis of patients.