食管癌患者术后经空肠造瘘管肠内营养的疗效观察

吴晓燕; 鲁铭; 田辉

doi:10.3969/j.issn.1000-8179.20142003

食管癌患者术后经空肠造瘘管肠内营养的疗效观察

Clinical effect analysis of external nutrition support via jejunostomy catheter after surgery of esophageal carcinoma

摘要

摘要:
目的探讨食管癌患者术后通过经空肠造瘘管进行早期肠内营养的临床疗效。
方法胸腹腔镜联合食管癌根治术的食管癌患者178例, 其中98例食管癌患者术后经空肠造瘘管进行肠内营养, 80例患者行全静脉营养支持, 所有患者均于术后第1、10天测定血红蛋白(Hb)、清蛋白(ALB)、总蛋白(TP)、淋巴细胞计数(TLC)、血清转铁蛋白(TF)水平。
结果肠内营养组患者术后第10天血红蛋白(Hb)、清蛋白(ALB)、总蛋白(TP)、淋巴细胞计数(TLC)、血清转铁蛋白(TF)水平均高于静脉营养组(P < 0.05);肠蠕动恢复时间、下床活动时间、术后住院天数、住院费用均优于静脉营养组。
结论经空肠造瘘管肠内营养能改善患者机体营养状态, 维护和促进胃肠道功能。

Abstract:
Objective To investigate the clinical application of enternal nutrition support via jejunostomy catheter after esophageal carcinoma excision.
Methods The patients of the parenteral nutrition group (PNn group) received completely parenteral nutrition support.The patients of the external nutrition group (EN group) received total intravenous nutrition support on the first day after the surgery.And the nutritional targets and immunological function were timely examined at different points.
Results The time of postoperative exhaust, defecation and hospital stay were all shorter in EN group than in the PN group (P < 0.05).The index of nutritional and immune function was better in en group than in pn group.
Conclusion The enteral nutrition can improve the nutritional status, and can maintain and promote the postoperative gastrointestinal function of the esophageal cancer patients.

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