贵州医科大学学报

2010, v.35;No.146(05) 465-467

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早期肠内营养支持对老年胃癌患者术后营养状况的影响
Effect of Early Enteral Nutrition Support on Nutritional State of Aged Patients with Gastric Cancer after Operation

赵滢;王强;冯勇;
ZHAO Ying,WANG Qiang,FENG Yong (Department of General Surgery,the Affiliated Shengjing Hospital of China Medical University,Shenyang 110004,Liaoning,China)

摘要(Abstract):

目的:研究早期肠内营养支持在老年胃癌术后的价值。方法:将40例老年胃癌根治术后患者随机分为两组,分别进行肠外营养支持(PN组)和肠内外联合营养支持(PN-EN组),观察两组患者并发症的发生率、术后肠功能恢复时间及术后血清水平、留取24 h尿计算氮平衡等各项生化指标的变化。结果:两组患者术后并发症的发生率、血糖、肝功能无明显差异,PN-EN组患者术后肠功能恢复时间明显早于PN组(P<0.05),两组患者术后血清白蛋白、前白蛋白和转铁蛋白在营养支持后均明显升高(P<0.05),负氮平衡得到纠正。结论:老年胃癌术后早期肠内营养能明显改善患者的营养状态,减少术后并发症的发生,肠内外序贯营养支持符合患者的病理生理需求,具有安全、有效、合理的特点。
Objective: To evaluate the application of early enteral nutrition support in aged patients with gastric cancer after operation.Methods: Forty aged patients with gastric cancer and accepted surgery were randomly divided into two groups: parenteral nutrition group(group PN),and parenteral nutrition plus early enteral nutrition group(group PN-EN).Complication incidence,time needed for intestinal function recovery were observed.Serum and urine parameter and nitrogen banlance were tested respectively.Results: The differeces of complication incidence,blood glucose and liver function between the two groups were not significant,but the intestinal function recovery time in PN-EN group was obviously shorter than that in PN group(P<0.05).Serum albumin,prealbumin and transferrin of all the patients obviously increased after nutrition support(P<0.05),and the negative nitrogen balance was corrected.Conclusions: Early enteral nutrition support in aged patients with gastric cancer after surgery can obviously improve patients' nutritional state,and reduce complication.Parenteral nutrition combined with early enteral nutrition meets pathophysiological requirement and is safe,effective and reasonable.

关键词(KeyWords): 胃肿瘤;胃肠外营养;营养支持
stomach neoplasms;parenteral nutrition;nutritional support

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作者(Author): 赵滢;王强;冯勇;
ZHAO Ying,WANG Qiang,FENG Yong (Department of General Surgery,the Affiliated Shengjing Hospital of China Medical University,Shenyang 110004,Liaoning,China)

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DOI: 10.19367/j.cnki.1000-2707.2010.05.010

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