早期肠内联合肠外营养在胃癌全胃切除术后的应用

2016-07-25李荣海

中国卫生标准管理 2016年5期

李荣海

李荣海

【摘要】目的探讨早期肠内联合肠外营养在全胃切除术后的效果。方法 2013年10月～2015年10月在我院行全胃切除术的65例胃癌患者按照治疗方法分为两组，结合组33例实施早期肠内营养联合肠外营养，肠外营养组32例实施肠外营养。结果结合组肠鸣音恢复时间、肛门恢复排气时间、恢复饮食时间与肠外营养组比较较短，差异有统计学意义（P＜0．05）。治疗后两组TP、Alb、Hb均升高，结合组治疗后高于肠外营养组，差异有统计学意义（P＜0．05）。两组并发症发生率差异无统计学意义（P＞0．05）。结论胃癌全胃切除术后实施早期肠内营养联合肠外营养安全有效。

【关键词】胃癌；全胃切除术；肠内营养；肠外营养

Objective To investigate effect of the total gastrectomy treated with the early enteral and parenteral nutrition incorporated． Methods 65 patients with gastric cancer who underwent total gastrectomy were selected from October 2013 to October 2015，and were divided into two groups according to treatment methods，combined group（n=33）treated with early enteral nutrition and total parenteral nutrition，parenteral nutrition group（n=32）treated with example parenteral nutrition． Results The recovery time of bowel sounds，anal exhaust recovery time，recovery diet time of combined group were shorter than parenteral nutrition group，the difference was significant（P＜0．05）． After treatment，TP，Alb，Hb of two group were higher，combined groups after treatment was higher，the difference was significant（P＜0．05）． Complication rate between the two groups showed no significant difference（P＞0．05）． Conclusion Gastric total gastrectomy give early enteral nutrition combined total parenteral nutrition is safe and effective，it can be clinical application．

【Key words】 Gastric cancer，Total gastrectomy，Enteral nutrition，Parenteral nutrition

胃癌为消化系统多发的一种恶性肿瘤，有较高的发病率及死亡率［1］。胃癌发病初期缺乏典型的临床症状，容易混淆于其他消化系统疾病，未采取及时有效的方法治疗，严重影响患者的身体健康及生活质量，为了对癌细胞的进一步扩散进行有效控制，胃癌患者多采用全胃切除术进行治疗［2］。全胃切除术后患者分解代谢增强，因此术后营养支持对患者身体的康复具有重要的临床意义。笔者对在我院行全胃切除术的33例胃癌患者实施早期肠内营养联合肠外营养，临床效果较为理想，现报道如下。