针刺导管空肠造口术肠内营养在胃癌外科治疗中的应用  

Needle-catheter Jejunostomy for Postoperative Enteral Nutrition in the Stomach Cancer Patients after Gastrectomy

作　　者：李世宽[1] 周岩冰[1] 张建立[1] 丁连安[1] 毛伟征[1] 牛兆健[1] 孙振清[1] 王海波[1] 

机构地区：[1]青岛大学医学院附属医院普外科

出　　处：《中国临床营养杂志》2003年第3期173-175,共3页Chinese Journal of Clinical Nutrition

摘　　要：目的观察针刺导管空肠造口术(NCJ)肠内营养在胃癌手术中的应用效果。方法66例胃癌手术患者,其中40例行全胃切除术、26例行近端胃大部切除术;术中附加NCJ,术后给予肠内营养支持。结果肠内营养支持术后血清白蛋白和前白蛋白水平明显高于术前,手术前、后谷氨酰转肽酶和总胆红素差异无显著性。结论NCJ肠内营养适合胃癌手术后营养治疗。Objective To study the effect of enteral nutrition via needle-catheter jejunostomy (NCJ)in the stomach cancer patients after gastrectomy .Methods 66patients administered postoperative enteral nutrition via NCJ after total or proximal subtotal gastrectomy .Results The postoperative plasma albumim and prealbumin under enteral nutrition support were significantly higher than the preoperative values.The glutamyl transpeptidase and the total bilirubin were found of no significant difference before and after enteral nutrition administration.Conclusions NCJ was suitable for enteral nutrition administration after gastrectomy in the stomach cancer patients.

关 键 词：针刺导管空肠造口术 肠内营养 胃癌 外科治疗 全胃切除术 胃大部切除术 

分 类 号：R735.2[医药卫生—肿瘤] R459.3[医药卫生—临床医学]