肠道营养支持在食管癌术后吻合口瘘的应用  

Application of Enteral Nutrition Support in Anastomotic Fistula in Postoperative Esophageal Carcinoma

作　　者：何磊 金辉 吴留广 朱草原 

机构地区：[1]郑州市人民医院急诊外科,河南郑州450000

出　　处：《中外医疗》2015年第13期42-43,共2页China & Foreign Medical Treatment

摘　　要：目的探究肠道营养支持在食管癌术后吻合口瘘的应用意义。方法将68例食管癌术后并发颈部吻合口瘘患者随机分成两组,对照组接受肠外营养支持治疗,实验组实施肠内营养支持治疗,对比两组临床治疗效果。结果实验组呼吸道感染发生率(17.65%vs 41.18%)明显低于对照组(P<0.05),瘘愈合后第1天血清转铁蛋白(2.45±0.20)g/L vs(1.97±0.10)g/L显著高于对照组(P<0.05)。结论肠内营养支持疗法可提升食管癌术后并发颈部吻合口瘘患者机体蛋白合成,维护其肝脏功能。Objective To explore the significance of application of enteral nutrition support in the anastomotic fistula in postopera-tive esophageal carcinoma. Methods 68 cases of postoperative complication of cervical anastomotic fistula in esophageal cancer af-ter resection were randomly divided into two groups, the control group received parenteral nutrition support treatment, the experi-mental group underwent enteral nutrition support treatment, compared clinical curative effect of two groups. Results The incidence of respiratory tract infection in experimental group （17.65%vs 41.18%） was significantly lower than that of control group （P〈0.05）, fistula healing after 1d of serum transferrin（2.45＆#177;0.20）g/L vs（1.97＆#177;0.10）g/L was significantly higher than that in control group （P〈0.05）. Conclusion Enteral nutrition support therapy can improve the postoperative esophageal cancer complicated with cervical anastomotic fistula patients body protein synthesis, maintain the function of liver.

关 键 词：肠道营养支持 食管癌 食管胃吻合口瘘 

分 类 号：R735.1[医药卫生—肿瘤]