留置鼻空肠营养管行肠内营养的临床应用分析  

Clinical application of lien nasojejunal feeding tube for enteral nutrition

作　　者：章丽[1] 余丹[1] 王熙[1] 

机构地区：[1]中国人民解放军第四五四医院普外科,江苏南京210002

出　　处：《实用临床医药杂志》2012年第15期60-61,64,共3页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(11220085)

摘　　要：目的研究胃癌手术患者经留置鼻空肠营养管行肠内营养的临床效果。方法收集2009年5月~2011年5月间,本院因住院手术并经过电子胃镜、病理活检检查确诊为胃癌患者36例。予经留置鼻空肠营养管行肠内营养2周,对肠内营养完成情况、肠功能恢复时间、并发症等指标进行比较分析。并在术前1 d及术后第14天检测患者体重、总蛋白、白蛋白等指标,并评估患者免疫功能指标。结果通过留置鼻空肠营养管肠内营养支持,患者肠道功能恢复平均需（43.2±11.4）h。患者行肠内营养后的体重、总蛋白、白蛋白等营养指标较治疗前均明显减低,但术后10 d免疫学指标如IgA、IgG、IgM[（1.79±0.60）g/L、（10.78±2.88）g/L及（1.11±0.23）g/L]均分别较治疗前明显增高。术后并发呕吐、咽喉疼痛等并发症率发生率13.9%（5/36）。结论腹腔镜上消化道溃疡穿孔修补术疗效确切,且与开腹手术相比优势明显,值得推广。Objective To study the clinical efficacy of enteral nutrition in patients with indwelling nasojejunal feeding tube for the gastric surgery.Methods Thirty-six gastric cancer patients in hospital who were diagnosed and comfirned by electronic gastroscope and biopsy from May 2009 to May 2011 were included in the study.Indwelling nasal jejunal feeding tube for two-week enteral nutrition,the completion of enteral nutrition,intestinal function recovery time,complications,and other indicators were comparatively analyzed.The weight,total protein,albumin,and other indicators of patients 1d before surgery and 14 days after surgery were detected.Indicators of immune function in patients were assessed as well.Results Through the indwelling nasojejunal feeding tube enteral nutrition,the average recovery of bowel function in patients was（43.2±11.4） h.After enteral nutrition,the weight,total protein,albumin and other nutritional indicators in patients were significantly lower.But immunological parameters of IgA,IgG and IgM[（1.79±0.60） g/L,and（10.78±2.88） g/L and（1.11±0.23） g/L]were significantly higher 10 days after surgery.The incidence rate of postoperative complications such as vomiting and sore throat was 13.9%（5/36）.Conclusion Gastric cancer surgery in patients with jejunostomy enteral nutrition is a simple,safe,effective,timely and comprehensive nutritional support in line with the superiority of physiology characteristics.

关 键 词：胃癌手术 肠内营养 留置鼻空肠营养管 

分 类 号：R735.2[医药卫生—肿瘤]