肠内营养治疗食管癌和贲门癌术后功能性胃排空障碍  

Enteral nutrition in the treatment of functional delayed gastric emptying after resection of esophageal or gastric cardiac carcinoma

作　　者：陶宇 韩继彪 张俊峰 陈梦苒 

机构地区：[1]解放军第一0五医院胸心外二科,合肥230031

出　　处：《中国综合临床》2011年第8期843-845,共3页Clinical Medicine of China

摘　　要：目的探讨肠内营养在功能性胃排空障碍治疗中的作用。方法15例食管癌、贲门癌手术后功能性胃排空障碍患者，10例应用肠内营养，5例应用肠外营养，比较2组术后住院时间、胃肠减压量、胃排空障碍恢复时间，评估肠内营养的疗效。结果肠外营养组住院时间为（20．3±6．6）d，肠内营养组为（14．4±4．6）d；胃排空障碍恢复时间分别为（19±9）、（12±4）d。结论肠内营养能促进胃肠道功能恢复，是治疗食管癌、贲门癌手术后功能性胃排空障碍的有效手段。Objective To explore the role of enteral nutrition in the treatment of functional delayed gastric emptying. Methods Among 15 patients with functional delayed gastric emptying after resection of esophageal or gastric cardiac carcinoma, 10 patients were treated with enteral nutrition （EN group）, 5 patients were treated with parenteral nutrition （PN group ）. Postoperative hospital stay, gastrointestinal decompression amount, recovering time of postoperative gastric emptying were observed to assess the efficacy of enteral nutrition. Results The average postoperative hospital stay was （ 14. 4 ± 4. 6 ） days in the EN group, whereas （20. 3 ± 6. 6 ） days in the PN group. The average recovering time of postoperative gastric emptying was （ 19 ± 9 ） days in the PN group and（ 12±4）days in the EN group. Conclusion The method of EN can enhance gastric emptying and is effective for functional delayed gastric emptying after resection of esophageal or gastric cardiac carcinoma.

关 键 词：肠内营养 胃排空障碍 食管癌 贲门癌 

分 类 号：R735[医药卫生—肿瘤]