论文部分内容阅读
目的探讨食管和贲门癌手术后肠道内外营养方法疗效有无差别。方法 221例食管癌贲门癌患者手术后随机分成两组,肠内营养组(EN组)与肠外营养组(PN组),EN组术中放置十二指肠营养管,术后尽早即予以肠内营养。PN组术后予以周围静脉营养支持。监测两组患者其术后肠道功能恢复时间,出现瘘管并发症,平均住院天数及住院所需费用。结果两组间在术后肠功能恢复时间、住院天数及所需费用方面EN组明显优于PN组(P<0.01),术后瘘管并发症方面差异无显著性(P>0.05)。结论食管癌贲门癌术中放置十二指肠营养管予以肠内营养,可明显改善患者术后营养,减少并发症且费用低廉。
Objective To investigate whether there is any difference in the efficacy of nutrition between the intestine and the intestine after esophageal and cardiac surgery. Methods A total of 221 patients with esophageal and gastric cardia cancer were randomly divided into two groups: enteral nutrition group (EN group) and parenteral nutrition group (PN group). EN group was given intraoperative duodenal feeding tube, which was given as soon as possible after operation Enteral nutrition. PN group after peripheral vein nutrition support. The postoperative intestinal function recovery time, fistula complications, average hospitalization days and hospitalization costs of the two groups were monitored. Results The EN group was significantly better than the PN group (P <0.01) in postoperative recovery of intestinal function, days of hospitalization and the required cost. There was no significant difference in postoperative complications of fistula (P> 0.05). Conclusion Esophageal and cardial carcinoma surgery placed duodenal feeding tube for enteral nutrition, which can significantly improve postoperative nutrition, reduce complications and low cost.