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目的:探究空肠经胃镜置管行肠道营养对胃癌术后胃瘫患者的治疗效果,为后期临床治疗提供参考。方法:选取我院2005年1月到2014年1月期间收治的100例胃癌根治术后胃瘫患者作为研究对象,根据治疗方式的不同分为研究组与对照组,每组各50例。研究组患者行胃镜空肠置管给予全肠道营养进行治疗,对照组患者给予全肠外营养进行治疗。观察并比较两组患者经治疗后的疗效、免疫功能等。结果:研究组患者全肠道营养治疗前后在体重、转铁蛋白、前白蛋白、血清白蛋白比较,差异具有统计学意义(P<0.05);两组患者经不同营养支持治疗后在相关免疫指标比较,差异具有统计学意义(P<0.05)。结论:空肠经胃镜置管行肠内营养支持治疗胃瘫,可显著改善患者营养状况,增强其免疫能力,促进胃肠道功能恢复,值得在后期临床胃瘫治疗中推广及应用。
Objective: To investigate the effect of enteral nutrition with endoscopic jejunostomy through gastroscope on patients with gastric paralysis after gastric cancer operation, and to provide reference for clinical treatment in the later period. Methods: 100 gastric cancer patients with gastric paralysis who underwent radical gastrectomy between January 2005 and January 2014 in our hospital were selected as research objects. According to the different treatment methods, they were divided into study group and control group, with 50 cases in each group. Patients in the study group underwent gastroscopic jejunal catheterization for total enteral nutrition and patients in control group were treated for total parenteral nutrition. Observed and compared two groups of patients after treatment efficacy, immune function. Results: There was significant difference in weight, transferrin, prealbumin and serum albumin between the two groups before and after total enteral nutrition treatment (P <0.05). After the two groups were treated with different nutritional support, Compared with the index, the difference was statistically significant (P <0.05). Conclusion: Gastrointestinal endopectomy is an effective method to treat gastroparesis by enteral support in jejunum. It can significantly improve the nutritional status of patients and enhance their immunity, and promote the recovery of gastrointestinal function. It is worth to be popularized and applied in the treatment of clinical gastroparesis.