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目的:探讨肝门部胆管癌病人根治术后经三腔胃肠管行早期肠内营养(EEN)的应用价值。方法:选取32例行肝门部胆管癌根治术的病人,分为三腔胃肠管组和普通胃管组(胃管+鼻肠营养管)。术后进行同样的EN治疗。观察两组病人肛门恢复排气时间、恶心、呕吐、腹泻、肺部感染、腹腔感染、切口感染、胃液引流量等。术后第8天,检测肝、肾功能等指标。结果:普通胃管组病人的肺部感染发生率明显高于三腔胃肠管组(P<0.05);三腔胃肠管组病人恶心、呕吐的发生率明显低于普通胃管组(P<0.05),两组间胃液引流量、肛门恢复排气时间、术后腹腔感染、切口感染等并发症的发生率均无显著性差异(P>0.05)。结论:肝门部胆管癌病人根治术后采用三腔胃肠管行EEN不仅安全可靠,耐受性好,而且能减少并发症的发生率。
Objective: To investigate the value of early enteral nutrition (EEN) in patients with hilar cholangiocarcinoma after radical operation of three-chamber gastrointestinal tract. Methods: Thirty-two patients undergoing radical hilar cholangiocarcinoma were divided into three groups: gastrointestinal tube group and common gastric tube group (gastric tube + nasogastric tube). After the same EN treatment. The two groups of patients were observed anal exhaust time, nausea, vomiting, diarrhea, lung infection, abdominal infection, incision infection, gastric drainage and so on. On the 8th day after operation, liver and kidney function indexes were detected. Results: The incidence of pulmonary infection in the common gastric tube group was significantly higher than that in the triple-cavity gastrointestinal tube group (P <0.05). The incidence of nausea and vomiting in the triple-lumen gastrointestinal group was significantly lower than that in the common gastric tube group 0.05). There was no significant difference in the incidence of complications such as gastric drainage, anus recovery time, postoperative abdominal infection and incision infection between the two groups (P> 0.05). Conclusions: EEN with triple-lumen gastrointestinal tract after radical operation in patients with hilar cholangiocarcinoma is safe, reliable and well-tolerated, and can reduce the incidence of complications.