摘要
目的:比较胃癌病人术后序贯性早期肠内营养(EEN)支持与非序贯性EEN支持的疗效和治疗成本。方法:将入选的42例拟行胃癌根治手术的病人随机分为研究组和对照组。研究组病人采用序贯性EEN支持,对照组采用非序贯性EEN支持。比较两组病人EN支持期间的耐受情况、术后胃肠道功能恢复情况、手术并发症和术后住院时间。同时记录各组病人术后住院费用,进行成本效果分析,作出卫生经济学评价。结果:研究组病人EN支持期间不耐受发生率显著低于对照组,术后住院时间显著短于对照组。研究组和对照组的成本效果比分别为10 510.78和13 192.86,成本效果比研究组低于对照组。结论:胃癌病人术后序贯性EEN支持有助于提高病人EEN的耐受性,缩短术后住院时间,具有更好的成本效果比。
Objective： To compare the clinical efficacy and cost between sequential early enteral nutrition support and non- sequential early enteral nutrition support after surgery of gastric cancer. Methods： 42 patients who underwent gastric surgery were randomly divided into study group and control group. Sequential early enteral nutrition support therapy was used in study group , while non- sequential early enteral nutrition support was used in control group. The tolerance during enteral nutrition support, the gastrointestinal function recovery time, complications, and length of postoperative hospital stay were compared between two groups. The cost of postoperative hospital stay was recorded for cost-effectiveness analysis to make health economics evaluation. Results： The intolerance incidence during enteral nutrition support in study group was significantly lower than that in control group [ 9.5 percent vs 38.1 percent, P = O. 029 ] and the length of postoperative hospital stay was significantly shorter than those in control group [ （8.5 ＋- 2.4） days vs （ 10.2 _＋ 2.9） days,P = 0. 020 ]. The cost-effectiveness ratios of the study group and control group were 10 510.78 and 13 192.86. Conclusion： Sequential early enteral nutrition support therapy can improve the tolerability of the patients with early enteral nutrition, shorten the length of postoperative hospital stay and has a better cost-effectiveness ratio.
出处
《肠外与肠内营养》
CAS
北大核心
2013年第6期348-352,共5页
Parenteral & Enteral Nutrition
关键词
胃癌
序贯性早期肠内营养
成本效果分析
Gastric cancer
Sequential early enteral nutrition
Cost-effectiveness analysis
