【摘要】 目的探讨胃癌患者术后应用三腔胃肠管进行早期肠内营养的方法。方法选择行近端或远端胃切除手术的胃癌患者80例,术中行胃造口置三腔胃肠管,在早期肠内营养及胃肠减压等方面进行临床研究和评估。结果术中行胃造口置三腔胃肠管,置管时间较短,固定可靠;所有病例术后均随访6~24月,置管相关近期及远期并发症发生率低,留置时间较长,达到了预期营养目标。结论术中胃造口置三腔胃肠管进行早期肠内营养,操作简单,效果可靠,并发症低,耐受性好,尤其适合患肺部疾患、营养不良的老年胃手术患者,对功能性胃排空障碍有较好的治疗作用。更多还原

【Abstract】 Objective To explore the best method of enteral nutrition through three-lumen gastrojejunal tube in gastric cancer.patients with gastroectomy.Methods Eighty gastric cancer patients undergoing proximal or distal gastroectomy were intubated three-tube gastrojejunal tube during the operation.Patients were given early enteral nutrition within 24 hours after admission.The incidence of early and long-term complications was observed.All patients were followed up from 6 months to 24 months by the same investigator.Results The rate of postoperative infectious complications was significantly lower in the nutrition group.Conclusions Early postoperative enteral nutrition by three-tube gastrojejunal tube is safe and feasible for patients undergoing gastrosurgery,especialy for the elderly patients with pulmonary diseasesand malnutrition.has its advantages over postoperative complications.It appears to be a reliable method of long-term enteral feeding.更多还原