摘要
目的:探讨经空肠造瘘管行肠内营养支持在胃癌患者术后辅助化疗中的应用。方法:比较43例放置空肠造瘘营养管的胃癌患者(空肠造瘘组)与52例未放置空肠造瘘营养管的胃癌患者(未置管组)在辅助化疗期间的营养状况。结果:空肠造瘘组患者第4次化疗后PAB明显比未置管组高,差异具有统计学意义(P<0.05);第8次化疗时ALB及BMI均明显高于未置管组,差异具有统计学意义(P<0.05);结论:胃癌患者辅助化疗中应用空肠造瘘管行肠内营养可改善患者的营养状况,对胃癌术后营养不良或化疗副反应大的患者是一种选择。
Objective： To explore the application of enteral nutrition via jejunostomy catheter in gastric cancer patients undergone adjuvant chemotherapy. Methods： Clinical data of 95 patients with gastric cancer undergone adjuvant chemotherapy in the Affiliated Tumor Hospital of Zhengzhou University were retrospectively analyzed. The nutritional status was compared between jejunostomy group （n = 43） and tube-free group （ n = 52）. Results ： The levels of PAB in jejunostomy group were significantly higher than tube-free group after the fourth chemotherapy （P 〈 0. 05 ）. The lev- els of ALB and BMI in jejunostomy group were significantly higher than tube-free group after the eighth chemotherapy （P 〈 0. 05）. Conclusion ： Enteral nutrition via jejunostomy catheter could improve the nutritional status of gastric cancer patients undergone adjuvant chemotherapy. It may be a good choice for patients with postoperative malnutrition or side effects of chemotherapy.
出处
《河南医学研究》
CAS
2014年第3期10-12,共3页
Henan Medical Research
关键词
空肠造瘘
胃癌
辅助化疗
jejunostomy
gastric cancer
adjuvant chemotherapy
