围手术期肠外营养支持在胃癌根治术的应用  

The application of perioperative pareteral nutrition (PN) support for patients with stomach cancer undergoing radical surgery

作　　者：崔向东[1] 赵宜良[1] 王玉星[1] 韩少良[1] 杨宇红[1] 张剑军[1] 王蕴新 

机构地区：[1]辽宁省肿瘤医院外科,110042 [2]抚顺市第三医院外科

出　　处：《中华临床营养杂志》1995年第4期15-17,共3页Chinese Journal of Clinical Nutrition

摘　　要：1986～1988年的胃癌扩大根治术221例及根治性全胃切除术19例非肠外营养(N-TPN)支持为对照组,与1991～1993年的198例及61例施行TPN治疗为实验组进行对比。N-TPN组术后并发症总发生率为7.2％,TPN组则为2.0％;全胃切除术并发症发生率分别为31.6％和4.9％(P<0.01)。吻合口瘘发生率N-TPN组分别为2.7％和10.5％,而TPN组则均为0.0％(P<0.01)。膈下脓肿发生率N-TPN组为31.6％和15.8％,而TPN组则为1.5％和3.3％(P<0.05)。但本研究是回顾性的,所以要有待进行前瞻性的、对照的、随机的大范围研究。We compare the treatment results of patients with TPN support (TPN group) with that of patients without TPN support (N-TPN group). N-TPN group includong the 221 cases underwent extended radical surgery and 19 radical stomachectomy from 1986 to 1988,while TPN group consists of 198 cases teated with extended radical surgery and 61 total stomachectomy from 1991-1993.The total postoperative complicaltion rate of TPN group and N-TPN group was 2. 0% and 7. 2% respectively. The complication incidence after total stomachectomy was 31. 6% for N-TPN group while 4. 9% for TPN group ( P <0. 01). The occcurence rate of fistula of a nastomosis was 2. 7% and 10. 5% for N-TPN but none in TPN group ( P <0. 01). Subpiregmatic abscess occcured in 31. 6% and 15. 8% of N-TPN patients,However only 1. 5% and 3. 3% of TPN patients P <0. 05).Prospective, romdomzed studies will be needed for future.

关 键 词：胃癌根治术 围手术期 TPN 并发症 

分 类 号：R735.2[医药卫生—肿瘤]