微创食管癌术后鼻肠营养管间歇鼻饲的临床应用价值

Clinical application value of intermittent feeding with nasointestinal tube after minimally invasive surgery of esophageal cancer

目的探讨微创食管癌术后鼻肠营养管间歇鼻饲的临床应用价值。方法62例食管癌微创手术患者在术中经鼻置入鼻肠营养管,术后3 d内开始经营养管间歇鼻饲。观察术后白蛋白水平、人血白蛋白使用率、脱管堵管等营养管相关不良事件发生率、腹泻腹胀发生率。结果术后第1、3、7天平均白蛋白水平分别为33.7 g/L、34.1 g/L和34.3 g/L。人血白蛋白使用率19.4%。术后3 d内开始鼻饲的患者占比98.4%。营养管相关不良事件3例,正常使用率95.2%;腹泻、腹胀发生率8%,3级以上发生率为0。结论经鼻肠营养管间歇鼻饲简便经济、安全有效,值得在微创食管癌术后推广应用。

【Objective】To evaluate the clinical application value of intermittent feeding with nasointestinal tube after minimally invasive surgery of esophageal cancer.【Methods】Sixty-two patients underwent minimally invasive surgery for esophageal cancer were placed with nasointestinal tube during operation,and intermittent nasal feeding was started within three days after operation.Postoperative albumin level and utilization rate of human serum albumin were observed.The incidence of adverse events related to nutrition tube,such as tube disconnection or blockage was documented,and the rate of diarrhea and abdominal distension was recorded.【Results】The average albumin levels on the 1st,3rd and 7th day after operation were 33.7 g/L,34.1 g/L and 34.3 g/L respectively.The utilization rate of human albumin was 19.4%.The patients who started enteral nutrition within three days after operation accounted for 98.4%.There were 3 cases of adverse events related to nutrition tube,and the normal utilization rate was 95.2%.The incidence of diarrhea and abdominal distension was 8%,and the incidence of grade 3 or above was 0.【Conclusion】Intermittent enteral nutrition through nasointestinal tube is simple,economical,safe and effective,and it is worth popularizing and applying in minimally invasive esophagectomy.