中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2010年
8期
25-26
,共2页
胃癌%肠内营养%肠外营养
胃癌%腸內營養%腸外營養
위암%장내영양%장외영양
Gastric cancer%Enteral nutrition%Parenteral nutrition
目的 探讨胃癌术后早期肠内营养支持的临床意义,并观察肠内营养对胃肠功能恢复、营养状况以及免疫功能的影响.方法 将40例行远端胃大部切除胃癌患者随机分为两组,20例术后行肠外营养治疗(PN组),20例术后早期行肠内营养治疗(EN组).PN组术后每日行完全肠外营养支持直到经口进食;EN组术后第1天以静脉支持为主,第2天开始经鼻营养管滴入肠内营养制剂,逐步加大用量并减少静脉支持.观察两组术后排气、排便时间,并发症发生率,平均住院费用、住院时间.结果 EN组术后排气、排便时间,并发症发生率和平均住院时间、费用均少于PN组.结论 胃癌术后早期EN支持可促进小肠功能恢复,提高免疫力,减少住院时间.肠内营养是胃癌术后营养支持的首选途径.
目的 探討胃癌術後早期腸內營養支持的臨床意義,併觀察腸內營養對胃腸功能恢複、營養狀況以及免疫功能的影響.方法 將40例行遠耑胃大部切除胃癌患者隨機分為兩組,20例術後行腸外營養治療(PN組),20例術後早期行腸內營養治療(EN組).PN組術後每日行完全腸外營養支持直到經口進食;EN組術後第1天以靜脈支持為主,第2天開始經鼻營養管滴入腸內營養製劑,逐步加大用量併減少靜脈支持.觀察兩組術後排氣、排便時間,併髮癥髮生率,平均住院費用、住院時間.結果 EN組術後排氣、排便時間,併髮癥髮生率和平均住院時間、費用均少于PN組.結論 胃癌術後早期EN支持可促進小腸功能恢複,提高免疫力,減少住院時間.腸內營養是胃癌術後營養支持的首選途徑.
목적 탐토위암술후조기장내영양지지적림상의의,병관찰장내영양대위장공능회복、영양상황이급면역공능적영향.방법 장40례행원단위대부절제위암환자수궤분위량조,20례술후행장외영양치료(PN조),20례술후조기행장내영양치료(EN조).PN조술후매일행완전장외영양지지직도경구진식;EN조술후제1천이정맥지지위주,제2천개시경비영양관적입장내영양제제,축보가대용량병감소정맥지지.관찰량조술후배기、배편시간,병발증발생솔,평균주원비용、주원시간.결과 EN조술후배기、배편시간,병발증발생솔화평균주원시간、비용균소우PN조.결론 위암술후조기EN지지가촉진소장공능회복,제고면역력,감소주원시간.장내영양시위암술후영양지지적수선도경.
Objective To investigate the clinical significance of early enteral nutrition support after operation of gastric cancer.The recovery of gastrointestinal function,nutritional status and immune function were observed. Methods Forty patients with distal subtotal gastrectomy were randomly divided into two groups, 20 patients received parenteral nutrition(PN group), 20 patients were supplied with early enteral nutrition(EN group).Patients of parenteral nutrition(PN) were given total parenteral nutritional supports as routinely from the first postoperative day until oral feeding.Patients with enteral nutrition(EN) were given parenteral nutritional supports routinely on the 1st postoperative day,and then with nutrition through naso-duodenal infusion, gradually increasing the dosage and reducing the venous support.The observation indexes including flatus and defecation time,complication rate,the average hospital costs and duration.Results The time of flatus and of bowel movement, complication rate,hospital duration and costs after operation in the EN group was lower than that of the PN group.Conclusions Early postoperative enteral nutrition support can promote the recovery of intestinal motor function,improve immunity and reduce the hospitalization duration. Enteral nutrition is the first choice for postoperative gastric cancer nutritional support.
