摘要
目的探讨三腔喂养管（Frekatrelmnina，FT）和空肠造瘘术（feedingieiunostomy，FJ）在老年患者胃癌根治术后早期肠内营养（earlyenteralnutrition，EEN）中的效果。方法回顾分析胃癌根治术后早期肠内营养的168例患者，其中FT组（54例）术中置入FT于术后EEN，FJ组（50例）术中行FJ且置入普通胃管于术后EEN，全肠外营养（totalparenteralnutrition，TPN）组（64例）术中置入普通胃管术后TPN。结果FT组和FJ组术后体重、白蛋白、前白蛋白显著高于TPN组．术后肠鸣音恢复时间、肛门排气时间、术后住院天数、住院费用均显著低于TPN组，FT组术后咳嗽咳痰和咽部疼痛发生率均显著高于FJ组和TPN组，各组比较差异均有统计学意义（均P〈0．05）。结论术中置入FT或行FJ术后EEN有助于改善老年胃癌患者术后营养状况，加速肠功能恢复，缩短住院时间，降低住院费用，并有减少吻合口漏和胃瘫的趋势。FT在无创、术后早期拔除、缩短手术时间等方面更具优势．但易导致术后咳嗽咳痰和咽部疼痛。
Objective To compare the clinical efficacy of Vreka trelumina （FT） vs. feeding jejunostomy （F J） in carrying out postoperative early enteral nutrition （EEN） in old patients with gastric cancer. Method 168 old gastric cancer cases were derided into FT group （n = 54） with EEN, FJ group （n = 50） with gastric tube and EEN, and total parenteral nut^-ition （TPN） group （n = 64）. Results Compared with TPN group, postoperative body weight, serum albumin and prealbumin level in FT and FJ groups were significantly higher, intestinal function recovery time, days of postoperative hospitalization and costs were significantly lower. The incidence of cough, sputum and sore throat of patients in FT group were significantly higher than those in FJ and TPN groups （P 〈 0.05 ） . Conclusions Postoperative EEN through FT and FJ was effective to improve nutritional parameter, accelerate intestinal function recovery, reduce the number of days of postoperative hospitalization, total costs, anastomotic stomal leak and gastroparesis rate.
出处
《中华普通外科杂志》
CSCD
北大核心
2015年第12期961-964,共4页
Chinese Journal of General Surgery
关键词
胃肿瘤
胃切除术
肠道营养
Stomach neoplasms
Gastrectomy
Enteral nutrition
