發(fā)布時(shí)間：2018-03-14 07:52

  本文選題：胃癌術(shù)后　切入點(diǎn)：早期經(jīng)口進(jìn)食　出處：《山西醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:通過回顧性研究分析探討胃癌患者術(shù)后早期經(jīng)口進(jìn)食的安全性和有效性,為臨床工作提供建議及依據(jù)。方法:收集54例在山西醫(yī)科大學(xué)第一附屬醫(yī)院普外科同一治療小組行胃癌根治術(shù)患者的臨床資料,其中,于2016年6月一2017年4月期間收治的25例術(shù)后采取早期經(jīng)口進(jìn)食方案的患者設(shè)為早進(jìn)食組,于2015年5月一2016年3月期間收治的29例術(shù)后采取傳統(tǒng)治療方案的患者設(shè)為傳統(tǒng)組。比較兩組患者在不同治療方案下術(shù)后第七天的ALB、PAB水平、術(shù)后首次排氣時(shí)間、進(jìn)食后胃腸道耐受情況、術(shù)后并發(fā)癥發(fā)生率及術(shù)后住院日等方面的差異。結(jié)果:1.兩組患者的年齡、性別、體重指數(shù)、術(shù)前Hb、ALB、PAB、腫瘤分期、手術(shù)時(shí)間、手術(shù)出血量、手術(shù)方式均不具有統(tǒng)計(jì)學(xué)差異(p0.05)。2.術(shù)后第7天兩組患者ALB水平無統(tǒng)計(jì)學(xué)差異(p0.05),早進(jìn)食組患者PAB水平比傳統(tǒng)組高,差異有統(tǒng)計(jì)學(xué)意義(p0.05)。3.術(shù)后首次排氣時(shí)間早進(jìn)食組早于傳統(tǒng)組(p0.05);進(jìn)食后胃腸道耐受情況及術(shù)后并發(fā)癥發(fā)生率兩組患者無統(tǒng)計(jì)學(xué)差異,(p0.05);術(shù)后住院日早進(jìn)食組短于傳統(tǒng)組(p0.05)。結(jié)論:腹腔鏡胃癌根治術(shù)后早期經(jīng)口進(jìn)食與傳統(tǒng)治療方案相比,可以提高患者術(shù)后第七天的前白蛋白水平,縮短患者術(shù)后首次排氣時(shí)間及術(shù)后住院日;同時(shí)患者胃腸道不耐受、吻合口出血、吻合口瘺、腹腔感染等相關(guān)并發(fā)癥的風(fēng)險(xiǎn)并未增加。
[Abstract]:Objective: to investigate the safety and efficacy of oral feeding in early postoperative gastric cancer patients by retrospective analysis. Methods: the clinical data of 54 patients undergoing radical gastrectomy in general surgery department of the first affiliated Hospital of Shanxi Medical University were collected. From June 1st 2016 to April 2017, 25 patients with early oral feeding were treated as early feeding group. From May 1st 2015 to March 2016, 29 patients who received traditional treatment were divided into traditional group. The levels of ALB PAB and the time of first exhaust after operation were compared between the two groups at 7th days after operation under different treatment schemes. Results: 1. Age, sex, body mass index, preoperative HBO ALB PAB, tumor staging, operative time, and postoperative bleeding volume were significantly different between the two groups. On the 7th day after operation, there was no significant difference in ALB level between the two groups. The PAB level in the early eating group was higher than that in the traditional group. There was no significant difference between the two groups in the incidence of gastrointestinal tolerance and postoperative complications, and the early postoperative hospitalization time was shorter in the group of early intake of gas than in the traditional group (P 0.05), and the incidence of postoperative complications was not significantly different between the two groups in the first time of exhaust and in the group of early intake after operation (P 0.05), and there was no significant difference between the two groups in the incidence of postoperative complications. Conclusion: early oral feeding after laparoscopic radical gastrectomy is compared with traditional treatment. It can improve the prealbumin level of the patients 7th days after operation, shorten the first time of exhaust after operation and the days of hospitalization after operation, at the same time, the patients with gastrointestinal intolerance, anastomotic bleeding, anastomotic leakage, The risk of complications such as abdominal infection did not increase.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R735.2

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