目的：探讨改良式空肠造瘘管在食管癌术后营养支持中的应用效果。方法将80例食管癌患者随机分为两组，即空肠造瘘管组(观察组)、鼻十二指肠管组(对照组)，观察两组患者的术后营养管相关并发症及术后至下床活动时间。结果观察组鼻黏膜出血或溃疡、脱管、堵管及营养液经胃管反流等营养管相关并发症发生率明显低于鼻十二指肠管组，差异有统计学意义(P<0.05)。观察组术后下床活动时间为(5.0±1.78)d，短于对照组的(8.2±1.00)d，差异有统计学意义(P<0.05)。结论采用空肠造瘘管进行食管癌术后营养支持安全可行，可改善患者的营养状况，降低术后并发症发生率，值得临床推广应用。%Objective To investigate the application effect of modified jejunum fistula in nutritional support after esophageal cancer operation. Methods 80 patients with esophageal cancer were randomly divided into the two groups [the observation group(the jejunal fistula group) and the control group (the nose duodenal tube group)].The tube related complications and the postoperative time to ambulation in the two group were compared. Results The incidence rate of the tube related complications of the observation group such as nasal mucosal bleeding or ulcer,off tube,blocking pipe and nutrient solution reflux by stomach tube were significantly lower than that of the control group(P<0.05).The postoperative time to ambulation of the observation group was shorter than that of the control group (P<0.05). Conclusion Enteral nutrition support through jejunal fistula can improve the nutritional status of patients,reduce the incidence rate of postoperative complications,and it is worthy of clinical promotion and application.
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