胃恶性肿瘤术后经空肠造口管肠内营养支持治疗  

Enteral Nutrition Therapy Through Jejunostomy Tube After Gastric Malignant Operation

作　　者：任永春[1] 陈显容 

机构地区：[1]西充县人民医院,四川西充637200 [2]南充市中心医院,四川南充637000

出　　处：《辽宁医学院学报》2013年第4期37-38,共2页Journal of Liaoning Medical University (LNMU) Bimonthly

摘　　要：目的分析探讨早期肠内影响支持在胃恶性肿瘤术后经空肠造口管的应用概况。方法随机选择2011年12月至2012年10月我院收治的50例胃恶性肿瘤后经空肠造口管患者,对患者的临床资料进行回顾性分析,并在患者进行术后经空肠造口后第2天早晨开始进行肠内营养支持治疗,整个支持治疗为期9 d。对患者肠内营养治疗前后的临床症状进行对比分析。结果 50例患者均能够顺利完成整个营养支持治疗,支持治疗后患者的血浆白蛋白及前白蛋白水平均比为进行支持治疗的高,47例患者在手术12～16 h内肛门正常排气且无其他异常现象出现。有效率为94%。结论对胃恶性肿瘤术后经空肠造口管患者进行早期的肠内营养治疗,能够在很大程度上帮助患者胃肠功能更快恢复,且该治疗方法毒副作用非常小,值得在临床上推广和使用。Objective To analyze and explore the general situation of the application of early enteral nutrition therapy through jejunostomy tube after gastric malignant operation. Methods 50 cases of gastric malignant tumor treated with jejunostomy tube admitted in our hospital from Dec. 2011 to Oct. 2012 were chosen randomly and the clinical information of these patients was retrospectively analyzed. Enteral nutrition support therapy through jejunostomy tube was applied the second morning after the operation and lasted for 9 days. The clinical symptoms of the patients before and after the therapy would be compared and analyzed. Results 50 patients were all able to complete the whole nutrition support treatment. The eplasma albumin and prealbumin levels of the patients after the therapy were both higher than those before the therapy. 47 patients were found with normal emission of anal exhaust within 12 hours to 16 hours after the operation without any other abnormal phenomena. The effective rate was 94%. Conclusion The early enteral nutrition therapy through jejunostomy tube after gastric malignant operation could help accelerate the recovery of the patients to a great extent with less toxic and side effects and this therapy was worth promoting to clinical use.

关 键 词：胃恶性肿瘤术 经空肠造口管 肠内营养 支持 早期 

分 类 号：R573[医药卫生—消化系统]