摘要
目的探讨鼻空肠营养管在防治胃癌患者术后胃瘫中的临床作用。方法 120例胃癌患者,随机分为实验组(74例)和对照组(46例)。实验组患者术中预防性置入鼻空肠营养管,对照组患者术中则未置入鼻空肠管,比较两组患者胃瘫发生率、患者消化道症状、胃管引流量、血清白蛋白浓度、胃管拔除时间、胃瘫治愈时间。结果对照组患者平均血清白蛋白浓度为(25.37±0.16)g/L,平均胃管引流量为(403.11±3.21)ml/d,平均胃管留置时间为(7.11±0.34)d,胃瘫发生7例(15.2%);实验组患者平均血清白蛋白浓度为(35.32±0.73)g/L,平均胃管引流量为(291.54±7.41)ml/d,平均胃管留置时间为(7.02±0.21)d,胃瘫发生3例(4.1%);实验组平均血清白蛋白浓度明显高于对照组,平均胃瘫治愈时间、平均胃管引流量、胃瘫发生率明显低于对照组,差异具有统计学意义(P<0.05);两组患者的平均胃管留置时间比较差异无统计学意义(P>0.05)。结论术中预防性置入鼻空肠营养管对胃癌患者术后胃瘫的发生具有预防和治疗的作用,值得临床推广。
Objective To investigate clinical effect by nose-jejunum nutrition tube in prevention of postoperative gastroplegia in stomach cancer patients. Methods A total of 120 patients with stomach cancer were randomly divided into experimental group (74 cases) and control group (46 cases). The experimental group received intraoperative preventive nose-jejunum nutrition tube placement, and the control group received no nose-jejunum nutrition tube placement. Comparison was made on incidence of gastroplegia, digestive tract symptoms, stomachtube drainage volume, serum albumin concentration, stomach tube extubation time, and gastroplegia healing time between the two groups. Results The control group had mean serum albumin concentration as (25.37±0.16) g/L,mean stomach tube drainage volume as (403.11±3.21) ml/d, mean stomach tube indwelling time as (7.11±0.34) d,and 7 cases with gastroplegia (15.2%). The experimental group had mean serum albumin concentration as(35.32±0.73) g/L, mean stomach tube drainage volume as (291.54±7.41) ml/d, mean stomach tube indwellingtime as (7.02±0.21) d, and 3 cases with gastroplegia (4.1%). The experimental group had obviously higher meanserum albumin concentration and much lower mean gastroplegia healing time, mean stomach tube drainage volume and incidence of gastroplegia than the control group, and the difference had statistical significance (P<0.05). There was no statistically significant difference of mean stomach tube indwelling time between the two groups (P>0.05).Conclusion Intraoperative preventive nose-jejunum nutrition tube placement provides effect for prevention and treatment of postoperative gastroplegia in stomach cancer patients, and it is worth clinical promotion.
作者
裴磊
林惠忠
周岩冰
PEI Lei;LIN Hui-zhong;ZHOU Yan-bing(Department of General Surgery, Municipal Affiliated Hospital of Medical School of Qingdao University, Qingdao 266000, China)
出处
《中国现代药物应用》
2017年第3期41-43,共3页
Chinese Journal of Modern Drug Application
关键词
鼻空肠营养管
胃瘫
胃癌
Nose-jejunum nutrition tube
Gastroplegia
Stomach cancer
