中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
21期
2949-2951
,共3页
结肠肿瘤%肠道营养
結腸腫瘤%腸道營養
결장종류%장도영양
Colonic neoplasms%Enteral nutrition
目的 探讨结肠癌术后早期肠内营养(EN)的临床应用价值.方法 93例结肠癌患者按入院单双号分为EN组(57例)和肠外营养组(PN组,36例),EN组于结肠癌术后24 h内开始经空肠营养管滴入肠内营养制剂并逐步减少静脉营养支持,PN组于结肠癌术后每日行完全肠外静脉营养支持,直到经口进食.观察两组胃肠功能恢复时间、营养状况及血清C-反应蛋白水平变化情况.结果 两组术后营养状态指标均较术前明显下降,但两组间差异无统计学意义(P＞0.05);EN组肛门排气时间、排便时间分别为(52.9±17.6)h和(67.2±9.3)h,与PN组的(71.4±13.8)h和(83.6±10.1)h相比较,差异均有统计学意义(t=2.58、3.56,均P＜0.05);术后7 d EN组C-反应蛋白水平(19.3±2.2)mg/L明显低于PN组的(27.8±2.3)mg/L(t=4.12,P＜0.05).结论 早期EN能降低结肠癌术后应激反应,促进胃肠功能的早期恢复.
目的 探討結腸癌術後早期腸內營養(EN)的臨床應用價值.方法 93例結腸癌患者按入院單雙號分為EN組(57例)和腸外營養組(PN組,36例),EN組于結腸癌術後24 h內開始經空腸營養管滴入腸內營養製劑併逐步減少靜脈營養支持,PN組于結腸癌術後每日行完全腸外靜脈營養支持,直到經口進食.觀察兩組胃腸功能恢複時間、營養狀況及血清C-反應蛋白水平變化情況.結果 兩組術後營養狀態指標均較術前明顯下降,但兩組間差異無統計學意義(P＞0.05);EN組肛門排氣時間、排便時間分彆為(52.9±17.6)h和(67.2±9.3)h,與PN組的(71.4±13.8)h和(83.6±10.1)h相比較,差異均有統計學意義(t=2.58、3.56,均P＜0.05);術後7 d EN組C-反應蛋白水平(19.3±2.2)mg/L明顯低于PN組的(27.8±2.3)mg/L(t=4.12,P＜0.05).結論 早期EN能降低結腸癌術後應激反應,促進胃腸功能的早期恢複.
목적 탐토결장암술후조기장내영양(EN)적림상응용개치.방법 93례결장암환자안입원단쌍호분위EN조(57례)화장외영양조(PN조,36례),EN조우결장암술후24 h내개시경공장영양관적입장내영양제제병축보감소정맥영양지지,PN조우결장암술후매일행완전장외정맥영양지지,직도경구진식.관찰량조위장공능회복시간、영양상황급혈청C-반응단백수평변화정황.결과 량조술후영양상태지표균교술전명현하강,단량조간차이무통계학의의(P＞0.05);EN조항문배기시간、배편시간분별위(52.9±17.6)h화(67.2±9.3)h,여PN조적(71.4±13.8)h화(83.6±10.1)h상비교,차이균유통계학의의(t=2.58、3.56,균P＜0.05);술후7 d EN조C-반응단백수평(19.3±2.2)mg/L명현저우PN조적(27.8±2.3)mg/L(t=4.12,P＜0.05).결론 조기EN능강저결장암술후응격반응,촉진위장공능적조기회복.
Objective To observe the effect of early enteral nutrition on the recovery and stress reaction after the operation of colon carcinoma.Methods 93 patients with colon carcinoma were divided into enteral nutrition group and parenteral nutrition group.Patients of EN group were given nutrition preparation through the jejunal nutrient canal beginning in the first day after operation and reduced the venous support gradually.Those of PN group were given parenteral nutritional supports from the the first day after operation until oral feeding.Results There were no significant differences between the EN group and PN group in the nutritional status.Both the first postoperative anoretum exhaust time and defecation time(52.9 ± 17.6;67.2 ± 9.3) h in group EN were less than that(71.4 ± 13.8;83.6 ± 10.1) h in group PN,there were significant differences between two groups(t = 2.58,3.56,all P＜0.05).The CRP in EN group after operation was obviously lower than preoperation(P＜0.05).Conclusion The early enteral nutrition could lower the stress reaction and promote the recovery of gastrointestinal tract function.
