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目的探讨运用空肠造瘘置管对食管癌术后肠内营养的安全性、可行性及临床运用效果。方法将95例患者随机分为两组,即空肠造瘘置管组(观察组),鼻十二指肠置管组(对照组),观察患者术后对上述导管的耐受情况及导管相关的并发症、术后下床活动时间。结果空肠造瘘置管组对导管的耐受力高于鼻十二指肠置管组,而导管相关并发症发生率低于鼻十二指肠置管组(P<0.05)。结论空肠造瘘置管组行肠内营养是一种安全可行的方法,患者能早期下床活动,可以降低术后导管相关并发症且患者免受留置十二指肠营养管的痛苦。
Objective To investigate the safety, feasibility and clinical application of jejunostomy catheter for postoperative enteral nutrition in patients with esophageal cancer. Methods Ninety-five patients were randomly divided into two groups: jejunostomy tube group (observation group) and nasal duodenal catheterization group (control group). The patient’s tolerance to these catheters and catheter-related Complications, ambulation time after surgery. Results The jejunostomy tube group was more tolerant to catheters than the nasal duodenal tube group, while the incidence of catheter-related complications was lower than that of the nasal duodenal catheter group (P <0.05). Conclusion jejunostomy catheter tube group enteral nutrition is a safe and feasible method, patients can get out of bed early activities, can reduce postoperative catheter related complications and patients from indwelling duodenal feeding tube pain.