胃癌患者行远端胃大部切除联合Roux-en-Y吻合术后营养支持治疗的效果分析  

Effect of nutritional support after distal subtotal gastrectomy combined with Roux-en-Y anastomosis in patients with gastric cancer

作　　者：王佳慧 WANG Jiahui(Clinical Nutrition Department of Nanjing Gaochun People's Hospital,Jiangsu Nanjing 211300,China)

机构地区：[1]南京市高淳人民医院临床营养科,江苏南京211300

出　　处：《临床普外科电子杂志》2022年第2期69-72,共4页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的观察营养支持治疗在胃癌患者进行远端胃大部切除结合Roux-en-Y吻合术后的价值。方法选取2020年2月至2021年10月南京市高淳人民医院接诊的胃癌手术患者50例,根据营养治疗方式不同分为对照组25例(术后进行肠外营养支持治疗)和试验组25例(进行肠内营养支持治疗),将两组患者在治疗后各项指标进行对比分析。结果试验组患者的术后首次排气时间、首次排便时间、住院时间、胃肠道恢复时间均短于对照组(P<0.05)。干预前,两组患者血清前白蛋白、血浆白蛋白、总蛋白水平无显著差异(P>0.05);干预后,试验组患者血清前白蛋白、血浆白蛋白、总蛋白水平显著高于对照组(P<0.05)。术后第1天,两组患者IgA、IgG、IgM水平无显著差异(P>0.05);试验组患者术后第7天的IgA、IgG、IgM水平较对照组显著升高(P<0.05)。两组患者并发症发生率差异无显著性(P>0.05)。结论在对胃癌手术患者进行术后营养支持治疗时,肠内营养支持效果更好,可显著改善患者营养指标和免疫指标。Objective To observe the value of nutritional support therapy after distal subtotal gastrectomy combined with Roux-en-Y anastomosis in patients with gastric cancer.Method 50 patients with gastric cancer treated in Nanjing Gaochun People's Hospital from February 2020 to October 2021 were divided into 25 cases in the control group(postoperative parenteral nutrition support treatment)and 25 cases in the experimental group(enteral nutrition support treatment)by different nutritional treatments.The indexes of the two groups were compared and analyzed.Result The first postoperative exhaust time,first defecation time,hospital stay and gastrointestinal recovery time in the experimental group were shorter than those in the control group(P<0.05).Before the intervention,there was no significant difference in the levels of serum prealbumin,plasma albumin and total protein between the two groups(P>0.05);after the intervention,the levels of serum prealbumin,plasma albumin and total protein in the experimental group were significantly higher than those in the control group(P<0.05).On the first day after operation,there was no significant difference in the levels of IgA,IgG and IgM between the two groups(P>0.05);the levels of IgA,IgG and IgM in the experimental group were significantly higher than those in the control group on the seventh day after operation(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion The effect of enteral nutrition support is better in the postoperative nutritional support treatment of patients with gastric cancer,which can significantly improve the nutritional and immune indexes of patients.

关 键 词：胃癌 远端胃大部切除术 ROUX-EN-Y吻合术 肠内营养 

分 类 号：R73[医药卫生—肿瘤]