摘要
目的 探讨PTCD治疗对恶性梗阻性黄疸（MOJ）患者的影响。方法 选取南京医科大学附属淮安第一医院介入科于2022年3月-2025年3月收治的MOJ患者100例，根据随机数字表法将其分为观察组（n=50，实施鼻肠营养管置入辅助PTCD治疗）和对照组（n=50，实施PTCD治疗），对比两组肝功能指标、营养指标及并发症。结果 观察组肝功能指标水平均低于对照组；观察组ALB、PA水平均高于对照组；观察组并发症总发生率低于对照组（P＜0.05）。结论 鼻肠营养管置入辅助PTCD治疗可促进MOJ患者肝功能恢复，改善其营养状态，并降低并发症发生率。
关键词： 恶性梗阻性黄疸；肠内营养；鼻肠营养管；经皮肝穿刺胆道引流术；营养指标；肝功能
Abstract
Objective To investigate the effect of PTCD treatment on patients with malignant obstruct jaundice (MOJ). Methods A total of 100 patients with MOJ treated in the Department of Interventional Radiology of the First Affiliated of Nanjing Medical University from March 2022 to March 2025 were selected. According to the randomized numerical table method, they were divided into the observation (n=50, nasojejunal enteral nutrition tube placement was performed to assist PTCD treatment) and the control group (n=50, PTCD treatment performed). The levels of liver function indexes, nutritional indexes and complications in the two groups were compared. Results The levels of liver function indexes in the observation group were all than those in the control group; the levels of ALB and PA in the observation group were higher than those in the control group; the total incidence rate of complications in the observation was lower than that in the control group (P < 0.05). Conclusion Nasojejunal enteral nutrition tube placement to assist PTCD treatment promote the recovery of liver function in patients with MOJ, improve their nutritional status, and reduce the incidence of complications.
Key words： Malignant obstructive jaundice; Enteral nutrition; Nasojejunal feeding tube; Percutaneous transhepaticolangial drainage; Nutritional index; Hepatic function
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