胃动力药和不同营养支持方式对胃切除术后胃功能性排空障碍的治疗作用  

The Role of Intravenous Nutrition and Enteral Nutrition in the Treatment of Gastroplegia After Gastrectomy

作　　者：王钢[1] 刘磊[1] 陆建明[1] 周纲[2] 

机构地区：[1]浙江省海宁市人民医院外科,浙江海宁314400 [2]浙江省海宁市中医院外科

出　　处：《中国医师杂志》2004年第11期1484-1485,共2页Journal of Chinese Physician

摘　　要：目的　探讨不同营养支持方式对胃切除术后胃功能性排空障碍的治疗作用。方法　回顾性分析 63例胃功能性排空障碍患者的治疗。 63例患者中 ,3 0例给予胃动力药物和静脉营养治疗 ,3 3例给予胃动力药物和肠内营养治疗 ,对两组患者的胃肠减压量和胃排空功能的恢复时间进行比较。结果　肠内营养组患者胃排空功能的恢复明显早于静脉营养组 ( P <0 0 5 ) ,胃肠减压量在治疗 1周后明显少于静脉营养组 (P <0 0 5 )。结论　肠内营养对胃排空功能的恢复有明显的促进作用 ,对功能性胃排空障碍患者应尽量采用肠内营养支持。Objective To explore the role of intravenous nutrition and enteral nutrition in the treatment of gastroplegia after gastrectomy. Methods The clinical data of 63 cases of gastroplegia after gastrectomy were retrospectively analyzed. Among the 63 cases, 30 were treated by gastrodynamic drugs and intravenous nutrition(intravenous nutrition group), and the other 33 cases were treated by gastrodynamic drugs and enteral nutrition(enteral nutrition group). Gastrointestinal decompression amount and recovery time of gastroplegia between the two groups were compared. Results Enteral nutrition group had a short recovery time of gastroplegia and less gastrointestinal decompression amount compared with intravenous nutrition group(P<0.05). Conclusion Enteral nutrition could treat gastroplegia and reduce complications more effectively.

关 键 词：治疗作用 患者 胃功能性排空障碍 胃排空功能 胃切除术后 肠内营养 营养支持 方式 结论 目的 

分 类 号：R656.6[医药卫生—外科学]