早期肠内营养在3D腹腔镜下膀胱癌根治加回肠代膀胱术围手术期中的应用效果观察  

Effect of Early Enteral Nutrition in the Perioperative Period of 3D Laparoscopic Radical Resection of Bladder Can⁃cer

作　　者：黄桂英[1] 宫满成[1] 董文静[2] 袁润强[1] HUANG Gui-ying;GONG Man-cheng;DONG Wen-jing(Department of Urology,The People’s Hospital of Zhongshan,Zhongshan,Guangdong,528403,China)

机构地区：[1]中山市人民医院泌尿外科,广东中山528403 [2]中山市人民医院化疗科,广东中山528403

出　　处：《黑龙江医学》2022年第11期1398-1400,共3页Heilongjiang Medical Journal

基　　金：中山市科技计划重大项目(2016B1003);中山市科技计划项目(2019B1064)。

摘　　要：目的:探讨早期肠内营养在3D腹腔镜下膀胱癌根治加回肠代膀胱术中应用的安全性与临床效果。方法:选取2018年1月—2020年1月中山市人民医院收治的60例行3D腹腔镜下膀胱癌根治加回肠代膀胱术的膀胱癌患者作为研究对象,按随机数表法分为肠内营养组和肠外营养组,每组各30例。观察两组患者的术后并发症、术后排气时间及总住院时间。结果:两组患者术后胃肠道相关并发症(恶心呕吐、腹胀腹痛、腹泻)发生率比较,差异无统计学意义(χ^(2)=0.11、0.09、0.52,P>0.05);肠内营养组手术并发症(切口愈合不良、尿瘘)发生率低于肠外营养组,差异有统计学意义(χ^(2)=4.71、4.63,P<0.05);肠内营养组术后排气时间、总住院时间短于肠外营养组,差异有统计学意义(t=5.83、4.90,P<0.05)。结论:3D腹腔镜下膀胱癌根治加回肠代膀胱术围术期应用早期肠内营养安全有效,可降低并发症的发生率,值得推广应用。Objective:To investigate the safety and clinical effect of early enteral nutrition in 3D laparoscopic radical treatment of bladder cancer and ileum replacement of bladder.Methods:A total of 60 patients with bladder cancer underwent 3D laparoscopic radical cystectomy and Ileal cystectomy in the hospital from January 2018 to January 2020 were selected as the research objects and divided into enteral nutrition group and parenteral nutrition group according to random number table,with 30 cases in each group.The postoperative complications,postoperative exhaust time and total length of stay were observed in the two groups.Results:There was no statistically significant difference in the incidence of postoperative gastrointestinal complications(nausea and vomiting,abdominal distension,abdominal pain,diarrhea)between the two groups(P>0.05).The incidence of surgical compli⁃cations(poor incision healing,urinary fistula)in the enteral nutrition group was lower than that in the parenteral nutrition group,and the difference was statistically significant(χ^(2)=4.71,4.63,P<0.05).The postoperative exhaust time and total hospital stay in the enteral nutrition group were shorter than those in the parenteral nutrition group,and the differences were statistically significant(t=5.83,4.90,P<0.05).Conclusion:The perioperative application of early enteral nutrition in 3D laparoscopic radical bladder cancer surgery and ileal bladder replacement surgery is safe and effective,reduces the incidence of complications,and it is worthy of clinical application.

关 键 词：3D腹腔镜 肠内营养 肠外营养 膀胱癌根治术 

分 类 号：R473.6[医药卫生—护理学]