摘要
目的探讨不同营养支持对结直肠癌患者恢复的影响。方法纳入我科2012年12月至2014年12月收治的97例结直肠癌患者,分为留置胃管肠内营养组(A组,n=33)、非留置胃管肠内营养组(B组,n=32)及肠外营养组(C组,n=32)。A组给予术后间断夹闭胃管并给予肠内营养,B组术后早期给予拔除胃管同时给予肠内营养,C组给予肠外营养。比较三组患者营养指标、胃肠道功能恢复时间、不良反应、术后感染及治疗费用。结果治疗前和治疗后三组患者的血红蛋白及清蛋白差异均无统计学意义(P>0.05)。A组患者第一次排气时间、第一次排便时间短于B组和C组,差异有统计学意义(P<0.01),而B组患者短于C组患者(P<0.01)。三组的术后不良反应发生的差异无统计学意义。三患者发生术后感染分别为A组5例(15.2%)、B组4例(12.5%)、C组9例(28.1%),A组、B组患者术后感染数显著低于C组(P<0.05)。A组患者术后住院时间、住院费用均少于B组及C组(P<0.05),B组少于C组(P<0.05)。结论术后留置胃管并同时给予肠内营养能够更好的促进结直肠癌患者术后恢复。
Objective To investigate effect of indwelling stomach tube combined with enteral nutrition on postoperative recovery in patients with colorectal cancer. Methods Ninety-seven patients admitted to our hospital from December 2012 to December 2013 were clivided into the indwelling stomach tube combined with enteral nutrition group（group A, n=33）, enteral nutrition without indwelling stomach tube group（group B, n=32）, parenteral nutrition group（group C, n=32）. Patients of group A were given EN powder support combined with indwelling stomach tube after operation. Patients of group B received EN powder support after removal of nasogastric tube,and those of group C were given parenteral nutrition alone. Gastrointestinal function recovery,infection, adverse reactions, complications and costs were recorded and analyzed. Results There was no significant difference between three groups in hemoglobin and albumin pre-and post-treatment. The first exhaust time and first defecation time in group A were shorter than B and C group（P〈0.05）, and were shorter in group B than that in group C（P〈0.05）. There was no significant difference between three groups in adverse reaction rate.Five cases（15.2%） in group A, 4 cases in group B（12.5%） and 9 cases in group C（28.1%）developed postoperative infection, and there were differences between three group A, Group B and group C. Hospitalization time and costs were less in A group than in B and C group（P〈0.05）, and were shorter in group B than that in group C（P〈 0.05）. Conclusion Indwelling stomach tube combined with enteral nutrition can promote the recovery of patients with colorectal cancer.
出处
《岭南现代临床外科》
2015年第4期450-452,497,共4页
Lingnan Modern Clinics in Surgery
关键词
结直肠癌
肠内营养
肠外营养
留置胃管
康复
Colorectal cancer
Enteral nutrition
Parenteral nutrition
Indwelling gastric tube
Rehabilitation
