| 茹新力.保留胃迷走神经远端胃癌根治术对患者术后营养及生存情况的影响[J].浙江中西医结合杂志,2017,27(8): |
| 保留胃迷走神经远端胃癌根治术对患者术后营养及生存情况的影响 |
| Effect of gastric vagus nerve on postoperative nutrition and survival in patients with gastric vagus nerve |
| 投稿时间：2016-12-01 修订日期：2017-01-08 |
| DOI： |
| 中文关键词: 保留胃迷走神经 远端胃癌根治术 术后营养 预后 |
| 英文关键词:Gastric vagus nerve distal gastric cancer nutrition prognosis |
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| 中文摘要: |
| 目的：探讨分析保留胃迷走神经远端胃癌根治术对患者术后营养及生存情况的影响。方法：选择我院收治的97例胃癌患者,将其随机分为观察组50例、对照组47例,对照组行常规远端胃癌根治术,观察组行保留胃迷走神经的远端胃癌根治术,比较两组相关指标、术后恢复情况、营养状况、生活质量及随访生存情况。结果：两组患者手术时间、术中出血量以及平均淋巴结清扫数比较差异均无统计学意义(P>0.05)；观察组患者肛门首次排气时间、术后住院时间以及并发症发生率均显著低于对照组(P<0.05)；术后7d两组患者白蛋白、前白蛋白以及BMI水平均较术前有所降低(P<0.05),而对照组患者白蛋白、前白蛋白以及BMI水平显著低于观察组(P<0.05)；观察组患者术后1个月、术后3个月以及术后6个月生活质量评分均显著高于对照组(P<0.05)；观察组患者随访生存情况显著优于对照组(P<0.05)。结论：保留胃迷走神经远端胃癌根治术能够有效促进患者术后胃肠功能恢复,降低术后并发症发生率,且有助于患者术后营养状况的改善以及生活质量的提高,并能改善患者生存情况,值得临床推广运用。 |
| 英文摘要: |
| Objective: To study the effect of the radical operation on the nutritional status and the survival of patients with gastric vagus nerve distal gastrectomy. Methods: 97 cases of gastric cancer patients in our hospital, were randomly divided into the observation group of 50 cases, 47 cases in the control group, the control group underwent conventional distal gastrectomy and radical operation on preserving distal gastric cancer gastric vagal nerve group, compared two groups of related indicators, postoperative recovery, nutrition status, life the quality and survival situation. Results: the amount of bleeding in two groups of patients with operative time, and the average lymph nodes showed no significant difference (P>0.05). In the observation group, the first exhaust time, postoperative hospital stay and incidence of complications were significantly lower than those in the control group (P<0.05). The levels of albumin, pre albumin and BMI were decreased in the two groups after operation(P<0.05). The levels of albumin, pre albumin and BMI in control group were significantly lower than those in the observation group (P<0.05). After 1 months, 3 months and 6 months after operation, the scores of quality of life in the observation group were significantly higher than those in the control group (P<0.05). Patients in the observation group were significantly better than the control group (P<0.05). Conclusion: reservation can effectively promote the postoperative recovery of gastrointestinal function after radical resection of gastric vagal nerve distal gastric cancer, reduce the incidence of postoperative complications, and is helpful to improve the postoperative nutritional status of patients and improve the quality of life, and can improve the survival of patients, is worthy of clinical application. |
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