空肠营养管在168例胃部手术中的应用.docVIP

精品论文 参考文献 空肠营养管在168例胃部手术中的应用 吴云川 　　乐山市中区人民医院 四川乐山 614000 　　【摘 要】目的：分析空肠营养管肠内营养在168例胃部手术中的应用效果。方法：将我院行胃部手术治疗的336例胃部疾病患者随机分为观察组168例和对照组168例。观察组行鼻空肠营养管肠内营养，对照组行鼻胃管肠内营养。评价并统计2组患者的肠内营养完成率，术后营养状况、恢复进程及并发症的发生率。结果：观察组鼻空肠管肠内营养完成率为94.64%，对照组鼻胃管肠内营养完成率为83.33%，2组比较，差异具有统计学意义（P＜0.05）。肠内营养后，2组患者的HB、ALB、PNI指标较术后第1d均上升，但观察组与对照组比较，差异均无统计学意义（P均＞0.05）。对照组患者的平均肛门排气时间、排便时间、住院时间均短于观察组，但2组比较，差异均无统计学意义（P均＞0.05）。观察组术后咽喉疼痛、恶心呕吐、腹胀腹泻、咳嗽咳痰并发症的发生率均低于对照组（P均＜0.05）。结论：在胃部手术肠内营养中，空肠营养管和鼻胃管能取得相当的营养价值，但空肠营养管的置管成功率高，且术后并发症发生率少，更值得临床推广应用。 　　【关键词】胃部手术；肠内营养；空肠营养管；鼻胃管 　　【中图分类号】R735 【文献标识码】B 【文章编号】1674-8999（2015）8-0429-02 　　Analysis of jejunum nutrition tube in the application effects of 168 cases of stomach surgery 　　【Abstract】objective: to analysis the jejunum nutrition tube enteral nutrition in the application effects of 168 cases of gastric surgery. Methods: Our hospitals with stomach surgery treatment of 336 patients with gastric diseases were divided into observation group (168 cases) and control group (168 cases). Observation group was nasal jejunum nutrition tube enteral nutrition; the control group was nasogastric tube enteral nutrition. Two group of patients with enteral nutrition completion rate, recovery of nutritional status, process and the incidence of complications were statistics. Results: the observation group nasal jejunal tube enteral nutrition completion rate was 94.64%, control group nasogastric tube enteral nutrition completion rate was 83.33%, the comparison of two groups, statistically significant difference (P lt; 0.05). Patients with enteral nutrition, the two groups of HB, propagated, PNI index compared with postoperative 1d were rising, but the observation group compared with control group, there were no statistically significant difference (P gt; 0.05). Control group patients, on average, anal exhaust time, defecation time, length of hospital stay were shorter in the observation group, but compared with the observation group, there were no statistically significant d