摘要
目的探讨胃肠减压,相关药物联合肠外营养支持(PN)的非手术措施,治疗完全性恶性肠梗阻患者的疗效。方法对18例晚期大肠癌所致的完全性肠梗阻患者,采取胃肠减压,并以生长抑素、止吐药、止痛药及糖皮质激素药物为主,联合肠外营养支持(PN)进行治疗,观察治疗前后的KPS评分与梗阻症状及胃液引流量的变化情况。结果18例患者中7例疗效良好,11例症状缓解明显,继续肠外营养(PN)支持治疗,生活质量明显改善。结论采取胃肠减压,并以生长抑素、止吐药、止痛药及糖皮质激素药物为主,联合肠外营养支持(PN)的非手术治疗,对大肠癌并恶性肠梗阻患者的疗效好,患者生活质量明显改善,无毒副反应。
Objective To explore the therapeutic effect of gastrointestinal decompression,and related drugs, United parenteral nutrition support （PN） on the non-surgical treatment of patients with complete treatment of malignant intestinal obstruction. Methods Retrospective analysis was carried our among 18 cases caused by the advanced colorectal cancer patients with complete intestinal obstruction. Through the adoption of decompression, and somatostatin, antiemetic, and Glucocorticoid painkillers hormone-based drugs, parenteral nutrition support United （PN） treatment, observation of the Krnofsky Performance Status （KPS）, clinical symptoms and gastric drainage of Change before and after the therapy. Results Of the l 8 cases,7 patients had good response to the treatment,and 11 had significant alleviation of the symptoms. Conclusion Gastrointestinal decompression, somatostatin, antiemetic drugs, painkillers and glucocorticoid - based drugs, combined with parenteral nutrition support （ PN ） might be effective in the treatment of patients with complete malignant intestinal obstruction.
出处
《实用癌症杂志》
2009年第5期514-516,共3页
The Practical Journal of Cancer
关键词
大肠癌
非手术治疗
恶性肠梗阻
Colorectal cancer
Non-surgical treatment
Malignant intestinal obstruction
