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目的:探讨三腔胃肠管在老年食管癌病人手术后早期肠内营养(EEN)的应用价值。方法:选取42例老年食管癌病人,每组21例,随机分为单腔普通营养管(胃肠减压管+鼻肠管)组和经鼻置三腔胃肠管组,术后24 h开始给予EN,同时对比置管成功率、病人出现呕吐、腹泻等不耐受情况的比例、达到预期营养目标的比例、感染发生率等,并在第8天复查肝、肾功能,评价三腔胃肠管在老年食管癌病人术后的应用价值。结果:三腔胃肠管在胃肠减压的同时,还可进行EN,降低了并发症的发生率。进行EEN未发现严重不良反应。结论:老年食管癌病人术后采用三腔胃肠管进行EEN安全可行。
Objective: To investigate the value of three-lumen gastrointestinal tract in early enteral nutrition (EEN) after esophageal surgery in elderly patients. Methods: Forty-two patients with esophageal cancer in the elderly were selected and 21 patients in each group were randomly divided into single-chamber common nutrition tube (gastrointestinal decompression tube + nasointestinal tube) group and transnasal three-lumen gastrointestinal tube group. EN was given, and the success rate of tube placement, the proportion of patients experiencing vomiting, diarrhea, and other intolerances, the proportion of expected nutritional goals, the incidence of infection, etc., were compared, and liver and kidney function were reviewed on the 8th day to evaluate the three-compartment stomach. Application Value of Intestine in Postoperative Patients with Senile Esophageal Cancer . Results: At the same time as the gastrointestinal decompression of the three-lumen gastrointestinal tract, EN can also be performed, which reduces the incidence of complications. No serious adverse reactions were found with EEN. Conclusion: The use of three-cavity gastrointestinal tract for EEN is safe and feasible in elderly patients with esophageal cancer.