[高血压医学论文] ［摘要］ 目的 探讨不同营养支持方式对胃切除术后胃功能性排空障碍的治疗作用。方法 回顾性分析63例胃功能性排空障碍患者的治疗。63例患者中，30例给予胃动力药物和静脉营养治疗，33例给予胃动力药物和肠内营养治疗，对两组患者的胃肠减压量和胃排空功能的恢复时间进行比较。结果 肠内营养组患者胃排空功能的恢复明显早于静脉营养组（P<0.05），胃肠减压量在治疗1周后明显少于静脉营养组（P<0.05）。结论 肠内营养对胃排空功能的恢复有明显的促进作用，对功能性胃排空障碍患者应尽量采用肠内营养支持。
［关键词］ 胃功能性排空障碍; 肠内营养; 静脉营养
Role of intravenous nutrition and enteral nutrition in the treatment of gastroplegia after gastrectomy
［Abstract］ Objective To explore the role of intravenous nutrition and enteral nutrition in the treatment of after gastrectomy.Methods 63 cases of gastroplegia after gastrectomy were retrospectively analyzed.In all of the 63 cases，30 patients were treated by gastrodynamic drugs and intravenous nutrition，other 33 cases were treated by gastrodynamic drugs and enteral nutrition.Gastrointestinal decompression amount，recovering time and complications of two groups were compared to find out a superior treatment.Results Enteral nutrition group showed a short recovering time and less gastrointestinal decompression amount compared to intravenous nutrition group（P<0.05）.Conclusion Enteral nutrition can treat gastroplegia after gastrectomy and reduce complications more effectively.
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