鼻肠管及空肠营养性造口管早期肠内营养在上消化道肿瘤术后的临床应用比较分析

目的比较鼻肠管及空肠营养性造口管早期肠内营养在上消化道肿瘤术后的临床应用情况。方法在接受早期肠内营养的226例术后上消化道肿瘤患者中，148例采用鼻肠管，78例采用空肠营养性造口管。结果226例上消化道肿瘤患者术后实施早期肠内营养效果良好。应用空肠营养性造I：1管的患者不良反应发生率较低（P〈O．01）。结论不论是鼻肠管还是空肠营养性造口管，术后早期肠内营养具有保护胃肠黏膜屏障、促进肠道激素分泌、防止细菌易位、提高机体免疫功能等作用。空肠营养性造口管引起的不良反应较低。

Clinical application comparison between nasojejunal tube and feeding jejunostomy tube in early enteral nutrition of the postoperative patients with gastrointestinal cancer

Objective To compare the clinical application conditions between nasojejunal tube and feeding jejunostomy tube in early enteral nutrition of the postoperative patients with upper gastrointestinal cancer. Methods Among 226 postoperative patients with upper gastrointestinal cancer who received early enteral nutrition, 148 patients were placed nasojejunal tube and 78 patients were placed feeding jejunostomy tube. Results In 226 postoperative pa- tients, the effect were good after early enteral nutrition. But the incidence of adverse reactions in the patients placed feeding jejunostomy tube was lower than that in the patients placed nasojejunal tube （ P 〈 0.01 ）. Conclusion The early enteral nutrition by nasojejunal tube and feeding jejunostomy tube in the postoperative patients with upper gastrointestinal cancer can protect the gastrointestinal mucosal barrier, promote intestinal hormone secretion, prevent bacterial translocation and improve the immune capacity. But the incidence of adverse reactions in the patients placed feeding jejunostomy tube is lower than that in the patients placed nasojejunal tube.