自制营养支架导管在近端胃癌术后排空障碍患者中的应用  

Application of self-made nutritional scaffold tube in patients with postoperative evacuation disturbance after primary proximal gastric cancer operation

作　　者：丁友宏 罗志海[1] 严世光[1] 李向阳[1] 

机构地区：[1]江苏淮安解放军第82医院肿瘤中心,223001

出　　处：《中国实用医药》2017年第11期183-185,共3页China Practical Medicine

摘　　要：目的探讨近端胃癌术后排空障碍的早期治疗方法。方法收集42例近端胃癌术后出现排空障碍的临床资料,传统保守治疗22例患者作为传统治疗组,行自制营养支架导管治疗20例患者作为放置支架套管组。对比两组患者的进食时间、住院时间、咽喉部刺激感、肺部炎症、血红蛋白及白蛋白营养指标变化情况。结果传统治疗组患者发病至恢复经口进食时间为20~60 d。放置支架套管组患者置管后第2天可进流食,未再出现恶心、呕吐等不适,1周后复查消化道造影,造影剂通过明显加快。2周后,放置支架套管组患者的进食时间(1.5±0.5)d、住院时间(20.5±5.6)d、住院费用(3.0±0.5)万元、咽喉部明显刺激感(1例)、肺部炎症(0例)、正常范围血红蛋白值例数(19例)、正常范围白蛋白值例数(19例)明显优于传统治疗组的(23.6±7.2)d、(38.5±11.8)d、(4.2±0.9)万元、18例、6例、4例、4例,差异具有统计学意义(P<0.05)。结论自制营养支架导管治疗近端胃癌术后排空障碍的方法有应用价值。Objective To investigate early treatment measures for postoperative evacuation disturbance after primary proximal gastric cancer operation. Methods Clinical data were collected from 42 patients with postoperative evacuation disturbance after primary proximal gastric cancer operation. 22 patients receiving traditional conservative therapy were taken as traditional treatment group, and another 20 patients receiving self- made nutritional scaffold tube were taken as scaffold tube group. Comparison was made on feeding time, hospital stay time, pharyngolaryneal irritation, pulmonary inflammation, hemoglobin and albumin changes between the two groups. Results The traditional treatment group had oral feeding recovery time from the beginning of disease as 20-60 d. The scaffold tube group took liquid diet from the second day after scaffold tube placement, without nausea and emesis, and they showed obviously faster contrast passing speed in digestive tract radiography reexamination after 1 week. After 2 weeks, the scaffold tube group had feeding time as （1.5± 0.5） d, hospital stay time as （20.5 ± 5.6）, hospitalization cost as （3.0 ±0.5） ten thousand yuan, 1 case with obvious pharyngolaryneal irritation, 0 case with pulmonary inflammation, 19 cases with normal hemoglobin value and 19 cases with normal albumin value, which were obviously better than （23.6 ± 7.2） d, （38.5± 11.8） d, （4.2 ±0.9） ten thousand yuan, 18 cases, 6 cases, 4 cases and 4 cases in the traditional treatment group, and their difference had statistical significance （P〈0.05）. Conclusion Self-made nutritional scaffold tube contains application value in the treatment of postoperative evacuation disturbance after primary proximal gastric cancer operation.

关 键 词：近端胃癌 术后排空障碍 自制营养支架导管 

分 类 号：R473.73[医药卫生—护理学]