术中置入鼻空肠营养管在防治胃癌患者术后胃瘫中的作用

发布时间：2018-04-20 22:04

本文选题：鼻空肠营养管 + 胃瘫　；参考：《中国现代药物应用》2017年03期

【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(P0.05);两组患者的平均胃管留置时间比较差异无统计学意义(P0.05)。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。
[Abstract]:Objective to investigate the clinical effect of naso-jejunal nutrition tube in the prevention and treatment of postoperative gastroparesis in patients with gastric cancer. Methods 120 patients with gastric cancer were randomly divided into experimental group (n = 74) and control group (n = 46). In the experimental group, the naso-jejunal nutrition tube was placed prophylaxis during the operation, while in the control group, the naso-jejunal tube was not inserted during the operation. The incidence of gastroparesis, gastrointestinal symptoms, gastric tube drainage flow, serum albumin concentration and the time of gastric tube extubation were compared between the two groups. Time to cure gastroparesis. Results in the control group, the mean serum albumin concentration was 25.37 卤0.16 g / L, the mean gastric tube drainage volume was 403.11 卤3.21 ml / d, the mean gastric tube retention time was 7.11 卤0.34 min / d, and the mean serum albumin concentration in the experimental group was 35.32 卤0.73 g / L, the mean gastric tube drainage volume was 291.54 卤7.41 ml / d, and the mean gastric tube drainage volume was 291.54 卤7.41 ml / d. The mean indwelling time of gastric tube was 7.02 卤0.21 days, and 3 cases of gastroparesis occurred 4.1.The mean concentration of serum albumin in the experimental group was significantly higher than that in the control group. The average healing time, the average drainage flow and the incidence of gastroparesis were significantly lower than those in the control group (P 0.05), and there was no significant difference between the two groups in the mean gastric tube retention time (P 0.05). Conclusion the preventive placement of naso-jejunal nutrition tube during operation can prevent and treat postoperative gastroparesis in patients with gastric cancer, which is worth popularizing in clinic.
【作者单位】：青岛大学医学院附属市立医院普外科;平邑县人民医院普外科;青岛大学医学院附属医院普外科;
【分类号】：R735.2

【相似文献】