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目的探讨食管癌术后吻合口瘘应用双胃管经鼻肠内营养的临床治疗效果。方法近7年来,将20例食管癌术后吻合口瘘患者随机分为治疗组(A组)10例和对照组(B组)10例,均行食管癌根治术,A组在吻合口瘘后应用双胃管经鼻肠内营养术(EN);B组吻合口瘘后经外周静脉行肠外营养(PN)。观察两组食管癌术后吻合口瘘的治疗效果,平均费用、平均住院费用等。结果 A组平均治愈率高于B组,而平均住院费用低于B组,两组比较差异有统计学意义(P<0.05)。结论食管癌术后吻合口瘘应用双胃管经鼻肠内营养(EN)可明显改善患者术后吻合口瘘营养状况,双胃管在加强引流的同时,进行胃肠减压,双胃管形成一种循环的引流作用,既能够起到引流作用,又能够为肠道提高营养,是治疗吻合口瘘一种完美的结合,是目前实施营养治疗比较理想的方法,利于患者康复以及改善生存质量,减少严重并发症发生,住院时间缩短并降低费用。
Objective To investigate the clinical effect of double-tube enteral and enteral nutrition after esophageal cancer anastomotic leakage. Methods In the past 7 years, 20 patients with esophageal fistula after esophageal cancer surgery were randomly divided into treatment group (A group) and control group (B group), 10 patients underwent radical esophagectomy. In group A, After the application of double-tube nasal enteral nutrition (EN); B group after anastomotic leakage through the peripheral vein parenteral nutrition (PN). Observation of two groups of esophageal anastomotic fistula after treatment, the average cost, the average cost of hospitalization. Results The average cure rate of group A was higher than that of group B, while the average hospitalization cost was lower than that of group B, the difference was statistically significant (P <0.05). Conclusion Anastomotic leakage of esophageal anastomotic fistula after application of double-tube enteral nutrition (EN) can significantly improve the nutritional status of patients with anastomotic fistula. Double-gastric tube can enhance gastrointestinal decompression, double-gastric tube Forming a circulation of drainage, both to play a role in drainage, but also for the intestine to improve nutrition, is the perfect combination of treatment of anastomotic fistula, is the ideal way to implement nutritional therapy, which will help patients recover and improve survival Quality, reduce the incidence of serious complications, shorter hospital stays and lower costs.