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目的探讨两种肠内营养管饲途径在远端胃切除BillrothⅠ式吻合术后的临床疗效。方法按管饲途径将病例随机分为两组,一组将鼻胃管远端置于残胃,另外一组术中将鼻胃管远端置于距屈氏韧带远端20cm以上空肠近端。结果两组患者术后营养评估差异无统计学意义,两组病例患者在肛门排气时间、停止肠外营养时间和住院时间差异有统计学意义。结论经空肠肠内营养是安全、有效的,同时还具有胃肠道功能恢复快、停止肠外营养时间早等优点。
Objective To investigate the clinical effects of two enteral nutrition tube feeding approaches after distal gastrectomy Billroth Ⅰ anastomosis. Methods The cases were randomly divided into two groups by tube feeding. One group placed the distal end of the nasogastric tube in the residual stomach. The other group placed the distal end of the nasogastric tube in the proximal end of the jejunum more than 20 cm away from the distal end of the Tuina ligament . Results There was no significant difference in postoperative nutritional assessment between the two groups. There was significant difference between the two groups in the time of anus discharge, the time of stopping parenteral nutrition and the length of hospital stay. Conclusion The jejunum enteral nutrition is safe and effective, but also has the advantages of rapid recovery of gastrointestinal function and pause of parenteral nutrition.