| 摘要: |
| 目的 探讨术后早期肠内营养（EN）在胃癌患者中应用的安全性和可行性。方法 将78 例接受胃癌根治术的患者
随机分为两组，其中EN 组40 例，全肠外营养（TPN）组38例。比较两组患者营养状况变化、肠功能恢复情况、术后并发症发生情况、营养费用和住院时间等。结果 术后第7天，EN 组患者总淋巴细胞计数（TLC）为（1.74±0.25）×109/L，明显高于TPN 组的TLC（1.59±0.28）×109/L（P＜0.05），其他营养指标两组间比较均无统计学差异（均P＞0.05）；EN 组患者肠功能恢复较TPN 组快，营养费用和住院时间较TPN 组少，均有统计学差异（均P＜0.05）；EN 组与TPN 组术后并发症的发生率分别为12.50%和18.42%，比较无统计学差异（P＞0.05）。结论 术后早期EN 可促进肠道功能的恢复，有效改善患者营养状态，降低住院费用。 |
| 关键词: 肠内营养 肠外营养 胃癌 |
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| Application of early enteral nutrition for gastric cancer after radical surgery |
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YU Chun, MAO Xinglong, ZENG Xueyun, QIAN Jun, WANG Lihua
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Quzhou Municipal Center Hospital
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| Abstract: |
| Objective To evaluate the safety and feasibility of early postoperative enteral nutrition (EN) in gastric cancer patients after radical resection. Methods Seventy eight gastric cancer patients after radical surgery were randomly assigned into EN group(n=40) and total parenteral nutrition (TPN) group (n=38). The nutrition status, bowel function recovery, postoperative complications, cost and length of hospital stay were observed and compared between two groups. Results The total lymphocyte
count in patients with EN group was higher than that of TPN group [(1.74±0.25)×109/L vs (1.59±0.28)×109/L, P＜0.05],there were no significant differences in nutrition index changes (P＞0.05). The bowel function recovery was earlier, the length of hospital stay was shorter and medical cost was lower in EN group than those in TPN group (P＜0.05) . The incidence rates of postoperative complications in two groups were 12.50%and 18.42%respectively (P＞0.05). Conclusion Early postoperative EN can promote the recovery of intestinal function, effectively improve nutritional status and reduce hospitalization expenses. |
| Key words: Enteral nutrition Parenteral nutrition Gastric cancer |
