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目的:探讨肠内营养在结肠癌术后胃瘫综合征(postsurgical gastroparesis syndrome,PGS)患者中应用的疗效。方法:回顾性分析我院1996年1月至2012年12月结肠癌手术的后发生PGS30例患者的临床资料,并分为肠内营养(EN)+肠外营养(PN)组(n=16)及全肠外营养(TPN)组(n=14),比较两组的临床疗效。结果:两组患者均经保守治疗治愈,无1例需要再次外科手术干预。肠内营养联合肠外营养组结肠癌术后胃瘫的恢复时间显著短于全肠外营养组(12.8±3.8 d vs 17.5±4.2 d,P<0.05)。结论:结肠癌术后发生胃瘫虽并不多见,但要重视术后胃瘫的发生,明确诊断后积极的保守治疗,及早肠内营养有助于胃瘫的早期康复。
Objective: To investigate the efficacy of enteral nutrition in patients with postsurgical gastroparesis syndrome (PGS) after colon cancer. Methods: The clinical data of 30 patients with PGS after colon cancer surgery from January 1996 to December 2012 in our hospital were retrospectively analyzed and divided into enteral nutrition (EN) + parenteral nutrition group (n = 16) ) And total parenteral nutrition (TPN) group (n = 14). The clinical efficacy of the two groups were compared. Results: Two groups of patients were cured by conservative treatment. No patient needed surgical intervention again. The recovery time of postoperative gastroparesis of enteral nutrition combined with parenteral nutrition group was significantly shorter than that of total parenteral nutrition group (12.8 ± 3.8 days vs 17.5 ± 4.2 days, P <0.05). Conclusion: Gastrointestinal paralysis is rare after colon cancer surgery. However, attention should be paid to the occurrence of postoperative gas paralysis. Positive conservative treatment after diagnosis and early enteral nutrition are helpful for the early rehabilitation of gastroparesis.