国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2009年
3期
177-179
,共3页
张凯松%洪宇明%徐冰理%刘建中
張凱鬆%洪宇明%徐冰理%劉建中
장개송%홍우명%서빙리%류건중
大肠癌%术后早期并发症%肠内营养制剂
大腸癌%術後早期併髮癥%腸內營養製劑
대장암%술후조기병발증%장내영양제제
colon cancer%early post-operative complications%enteral nutrient fluids
目的 探讨大肠癌术后早期肠内营养支持对术后恢复的影响.方法 将86例患者随机分成胃肠外组(PN)41例,胃肠内组(EN)45例,分别于大肠癌术后早期给予肠外营养制剂及肠内营养制剂,观察术前第3天及术后第5天、第8天细胞和体液免疫指标、白蛋白、体重等变化.结果 PN、EN术后第5天组间比较:白蛋白、前白蛋白、IgA、IgM、淋巴细胞指标P<0.05;PN、EN术后第8天组间比较:白蛋白、前白蛋白、淋巴细胞指标P<0.05;IgA、IgM指标P<0.01.结论 大肠癌术后早期给千肠内营养支持,可提高患者术后营养状况及免疫力,提升血清前白蛋白和白蛋白水平,减少并发症,明显加速患者康复.
目的 探討大腸癌術後早期腸內營養支持對術後恢複的影響.方法 將86例患者隨機分成胃腸外組(PN)41例,胃腸內組(EN)45例,分彆于大腸癌術後早期給予腸外營養製劑及腸內營養製劑,觀察術前第3天及術後第5天、第8天細胞和體液免疫指標、白蛋白、體重等變化.結果 PN、EN術後第5天組間比較:白蛋白、前白蛋白、IgA、IgM、淋巴細胞指標P<0.05;PN、EN術後第8天組間比較:白蛋白、前白蛋白、淋巴細胞指標P<0.05;IgA、IgM指標P<0.01.結論 大腸癌術後早期給韆腸內營養支持,可提高患者術後營養狀況及免疫力,提升血清前白蛋白和白蛋白水平,減少併髮癥,明顯加速患者康複.
목적 탐토대장암술후조기장내영양지지대술후회복적영향.방법 장86례환자수궤분성위장외조(PN)41례,위장내조(EN)45례,분별우대장암술후조기급여장외영양제제급장내영양제제,관찰술전제3천급술후제5천、제8천세포화체액면역지표、백단백、체중등변화.결과 PN、EN술후제5천조간비교:백단백、전백단백、IgA、IgM、림파세포지표P<0.05;PN、EN술후제8천조간비교:백단백、전백단백、림파세포지표P<0.05;IgA、IgM지표P<0.01.결론 대장암술후조기급천장내영양지지,가제고환자술후영양상황급면역력,제승혈청전백단백화백단백수평,감소병발증,명현가속환자강복.
Objective To explore more reasonable way of early post-operative effect of enteral nutrition fluids support for colon cancer.Methods A total of 86 case of colon cancer were selected and assigned to enteral nutrition group(EN n=45)and parenteral nutrition group(PN n=41)randomly.Parameters inclu ding the body wetght,IsA,IgM,lymphocyte,human serum prealbumin and albumen were monitored on three days before operation,the fifth,and eighth days after operation.Results The IgA,IgM,lympho cyte,human serum prealbumin and albumen levels of patients in EN group were much higher than that in PN group on the fifth and eighth days after operation(P<0.05).Also IgA,lgM levels of EN group patients were almost higher than that in PN group on eighth day after operation(P<0.01).Concusions It showed that to perform enteral nutrient supports for patients of colon cancer during early post-operative could increase their gut immunity after operation and reduce the complications and raise human serum prealbumin and albu men of them for their body recovery.