2016 年第 2 期 第 14 卷

术中置入空肠营养管对于防治胃癌术后胃瘫的作用分析

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关键词：空肠营养管胃癌胃瘫手术治疗

• 摘要：
• 【摘要】目的探讨术中置入空肠营养管对于防治胃癌术后胃瘫的作用。方法回顾性分析我院2011年1月~2014年12月进行胃癌手术治疗的125例患者的临床资料，将术中置入空肠营养管者82例作为观察组，未置入营养管者43作为对照组，观察两组患者胃瘫发生情况，胃瘫治愈时间，胃管引流量，胃管拔管时间以及胃功能指标。结果观察组患者术后胃瘫发生率和胃瘫治愈时间分别为2.44%和（15.38±4.03）d，低于对照组的18.60%和（25.93±3.27）d，差异有统计学意义（p＜0.05）；观察组胃功能指标中的最大耐受压力、耐受容积和顺应性分别为（23.83±7.54）Kpa、（5.29±0.92）mL和（30.35±1.34），明显高于对照组（p＞0.05）；观察组胃管平均引流量和拔除时间分别为（284.28±7.17）mL/d和（6.14±0.48）d，明显低于对照组的（394.16±4.28）mL/d和（7.64±0.36）d，而血清白蛋白浓度为（34.28±0.87）g/L，高于对照组的（23.12±0.79）g/L，差异有统计学意义（p＜0.05）。结论术中置入空肠营养管对胃癌术后发生胃瘫起到防治作用，且可缩短胃瘫治愈时间，促进胃功能恢复。
• Objective to evaluate effects of jejunum nutrition cathetering for the prevention of intraoperative gastric paralysis of gastric cancer.Methods Clinical data of 125 patients with gastric cancer undergoing surgical treatment in the Hospital from January, 2011 to December, 2011 were retrospectively analyzed, 82 patients undergoing intraoperative jejunum nutrition cathetering were divided into the observation group, 43 patients who didn't undergo nutrition cathetering control, and the occurrence of gastric paralysis, cure time of gastric paralysis, gastric tube drainage volume, gastric extubation time and index of gastric function.Results The incidence of postoperative gastric paralysis and healing time of gastric paralysis of patients in the observation group were 2.44% and (15.38±4.03) d, being less than those of patients in the control group at 18.60% and (25.93±3.27) d, and the differences were statistically significant (p＜0.05). Maximum tolerance pressure, tolerance volume and compliance in gastric function indexes of patients in the observation group hit (23.83±7.54)Kpa, (5.29±0.92)mL and (30.35±1.34) respectively, being significantly higher than those indexes of patients in the control group (p＞0.05). Average gastric tube drainage volume and gastric extubation time of patients in the observation group hit (284.28±7.17)mL/d and （6.14±0.48）d respectively, being significantly lower than those indexes of patients in the control group at (394.16±4.28) mL/d and (7.64±0.36)d respectively, and the serum albumin concentration of patients in the observation group hit (34.28±0.87) g/L, being higher than that of patients in the control group at (23.12±0.79) g/L, and the difference was statistically significant (p < 0.05).Conclusions Intra-operative in jejunum nutrition cathetering delivers prevention and treatment functions of postoperative gastric paralysis of gastric cancer, and it can shorten the healing time of stomach paralysis and facilitate the recovery of gastric functions.