摘要
目的探讨胃癌全胃切除术后早期肠内营养对患者术后恢复的影响。方法回顾性分析2005年5月至2010年3月行全胃切除术的胃癌患者40例,并将其分为肠内营养组和全肠外营养组,分别于术前及术后第7天对肱三头肌皮褶厚度、上臂中部周径、血浆总蛋白、血浆清蛋白、前清蛋白、丙氨酸氨基转移酶及天门冬氨酸氨基转移酶等各项营养指标进行测定,记录肠功能恢复时间,对两组数据进行比较。结果肠内营养组与全肠外营养组患者的术后营养状况无明显差异(P>0.05),但前者肠功能恢复较后者快(P<0.05)。结论早期肠内营养对全胃切除术后患者营养支持安全有效,能够促进肠功能恢复。
Objective To investigate impacts of enteral nutrition in early period on postoperative recovery of patients who had undergone total gastrectomy for gastric cancer.Methods Forty patients with gastric cancer had undergone total gastrectomy selected from May 2005 to March 2010 were divided into enteral nutrition group and total parenteral nutrition group,and retrospective analysis was conducted.Nutritional indexes such as triceps skin fold,mid-upper arm circumference,total protein,albumin,prealbumin,alanine aminotransferase and aspartate aminotransferase were detected before and 7 days after surgery,and the time of intestinal function recovery was recorded.Comparisons of data above between two groups were performed.Results There was no signi-ficant difference in nutritional indexes between enteral nutrition group and total parenteral nutrition group（P0.05）,however,the former showed earlier recovery of intestinal function than the latter（P0.05）.Conclusion Enteral nutrition in early period after total gastrectiomy for gastric cancer is safe and effective,and can promote recovery of intestinal function.
出处
《重庆医学》
CAS
CSCD
北大核心
2011年第16期1579-1581,共3页
Chongqing medicine
关键词
肠道营养
胃肠外营养
全
胃肿瘤
胃切除术
手术后期间
enteral nuntrition
parenteral nutrition
total
stomach neoplasms
gastrectomy
postoperative period
