【摘要】 目的 探讨营养支持疗法对喉癌及喉咽癌患者术后康复的影响。方法 将55例喉癌及喉咽癌患者随机分为观察组和对照组。观察组34例给予围手术期全胃肠外营养配合混合奶,对照组21例给予混合奶,每日鼻饲5-6次。检测术前、术后7天、14天各项营养指标,比较咽瘘发生的情况和平均住院日。结果 观察组体重迅速回升,免疫功能明显改善,保持正氮平衡,血红蛋白、血清白蛋白维持在正常水平,观察组平均住院日比对照组缩短16天左右。两组咽瘘发生率差异有显著性意义(P<0.01)。结论 喉癌及喉咽癌术后患者围手术期全胃肠外营养配合混合奶可降低咽瘘的发生率,缩短平均住院日,提高患者生存质量。更多还原

【Abstract】 Objective To investigate the effects of alimentotherapy on the recovering process of patients following the surgery of laryngeal and hypo-pharyngeal carcinoma. Methods 55 patients with laryngeal or hypo-pharyngeal carcinoma were randomly divided into treating group(TG) and controlling one (CG). 34 cases in TG were given full parenteral alimentotherapy supplemented with mixed milk during the peri-operating period,while 21 cases in CG were only given mixed milk,all being given by nasal feeding 5-6 thimes a day. The nutritive indexes were monitored before surgery and at the 7th and 14thdays after operation. Moreover, the morbidity of pharyngeal fistula and the averaged days of hospitalization were compared between the two groups. Results Compared with those of CG, cases in TG showed rapidly increased body weight,significantly improved immunologic function,maintenance of positive nitrogen equilibrium and normal levels of hemoglobin and serum albumin after surgery. The averaged days of hospitalization were shortened 16 days in TG,when compare with that in CG. Furthermore,there was a significant difference (P<0.01) in the morbidity of pharyngeal fistula. Conclusions Adequate alimentotherapy supplemented with mixed milk can reduce the morbidity of pharyngeal fistula,shorten the hospitalizing duration and improve the quality of life among cases following laryngeal and hypo-pharyngeal surgery.更多还原