摘要
目的:观察胃癌术后早期肠内营养支持的临床效果。方法:将76例患者随机分成早期肠内营养(EEN)组和未施行肠内营养(N-EEN)组(n=38),EEN组于胃癌术后24h经术中放置的鼻空肠管应用能全力进行早期肠内营养,N-EEN为术后静脉营养,术前、术后7天测定血清白蛋白、前白蛋白和体重、记录术后肠蠕动、排气时间和术后并发症。结果:两组肠鸣音恢复时间差异无统计学意义,EEN组术后肛门排气时间明显早于N-EEN组(P<0.05);两组术后体重均低于术前,但N-EEN组体重下降更明显,差异有统计学意义(P<0.05);术后第7天,两组患者血清白蛋白、前白蛋白均较术前下降,差异有统计学意义(P<0.05),但两组白蛋白下降的差异无统计学意义,而N-EEN组前清蛋白下降明显,差异有统计学意义(P<0.05)。结论:胃癌术后EEN安全、可靠,具有维护机体代谢平衡、促进肠蠕动的作用,并可减少术后并发症。
Objective： To observe the clinical effects of early post-operative intraintestinal nutritional support in the patients with carcinoma of stomach. Methods： After operation, seventy-six patients with carcinoma of stomach were divided randomly into intraintestinal nutrition （IIN）group and non IIN group. The patients in group IIN were given intraintestinal nutrition 24h after operation, and the patients in group N-IIN were given total parenteral nutrition support. The postoperative complications, the recovery time of gurgling sound and exhaust were recorded. The body weight, the levels of albumin and pre-albumin were tested preoperatively and at postoperative day 7 in all of the cases. Results： The recovery time of exhaust in the patients in IIN group was significantly shorter than that ofN-IIN （P〈0.05）. The body weight, the levels ofpre-albumin at postoperative day 7 was lower than those before operation （P〈0.05）. Conclusion： Early intraintestinal nutrition after operation was safe. It can promote an earlier recovery of intestinal movement and improve nutritional status of patients.
出处
《现代生物医学进展》
CAS
2008年第12期2295-2297,共3页
Progress in Modern Biomedicine
关键词
胃癌
早期肠内营养
Gastric cancer
Earlyenteral nutrition
