中华临床医师杂志(电子版)
中華臨床醫師雜誌(電子版)
중화림상의사잡지(전자판)
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2013年
3期
986-989
,共4页
肠道营养%胃肠外营养%腹腔镜%结直肠肿瘤
腸道營養%胃腸外營養%腹腔鏡%結直腸腫瘤
장도영양%위장외영양%복강경%결직장종류
Enteral nutrition%Parenteral nutrition%Laparoscopes%Colorectal neaplasms
目的观察早期肠内营养( EN )对维持和改善结直肠癌患者腹腔镜术后营养状态的影响。方法选择结直肠癌患者腹腔镜术后进行营养支持的成年患者42例随机进入EN 组和完全胃肠外营养( PN)组,每组21例,两组营养支持均等热量、等氮量。分别于术前及术后第1、7天检测营养状态指标,统计术后营养支持并发症的发生率。结果术后第7天, EN组白蛋白为(39.8±4.2) g/L,明显高于PN组的(35.2±4.1)g/L(P=0.001);EN组ALT水平明显低于PN组(P=0.001);血糖为(7.2±0.4)mmol/L,明显低于PN组的(10.8±0.4)mmol/L(P=0.026);肛门排气时间为(65.3±12.7)h,明显短于PN组的(97.4±9.4)h(P=0.001);平均营养费用为(4851±538)元,明显少于PN组的(11320±1170)元(P=0.000)。 EN组营养支持无严重并发症发生。结论结直肠癌患者腹腔镜术后EN是安全、经济、可行的。与PN支持相比,EN可更有效地改善术后患者的营养状态,促进肠道功能的恢复,降低住院费用,具有明显的优越性。
目的觀察早期腸內營養( EN )對維持和改善結直腸癌患者腹腔鏡術後營養狀態的影響。方法選擇結直腸癌患者腹腔鏡術後進行營養支持的成年患者42例隨機進入EN 組和完全胃腸外營養( PN)組,每組21例,兩組營養支持均等熱量、等氮量。分彆于術前及術後第1、7天檢測營養狀態指標,統計術後營養支持併髮癥的髮生率。結果術後第7天, EN組白蛋白為(39.8±4.2) g/L,明顯高于PN組的(35.2±4.1)g/L(P=0.001);EN組ALT水平明顯低于PN組(P=0.001);血糖為(7.2±0.4)mmol/L,明顯低于PN組的(10.8±0.4)mmol/L(P=0.026);肛門排氣時間為(65.3±12.7)h,明顯短于PN組的(97.4±9.4)h(P=0.001);平均營養費用為(4851±538)元,明顯少于PN組的(11320±1170)元(P=0.000)。 EN組營養支持無嚴重併髮癥髮生。結論結直腸癌患者腹腔鏡術後EN是安全、經濟、可行的。與PN支持相比,EN可更有效地改善術後患者的營養狀態,促進腸道功能的恢複,降低住院費用,具有明顯的優越性。
목적관찰조기장내영양( EN )대유지화개선결직장암환자복강경술후영양상태적영향。방법선택결직장암환자복강경술후진행영양지지적성년환자42례수궤진입EN 조화완전위장외영양( PN)조,매조21례,량조영양지지균등열량、등담량。분별우술전급술후제1、7천검측영양상태지표,통계술후영양지지병발증적발생솔。결과술후제7천, EN조백단백위(39.8±4.2) g/L,명현고우PN조적(35.2±4.1)g/L(P=0.001);EN조ALT수평명현저우PN조(P=0.001);혈당위(7.2±0.4)mmol/L,명현저우PN조적(10.8±0.4)mmol/L(P=0.026);항문배기시간위(65.3±12.7)h,명현단우PN조적(97.4±9.4)h(P=0.001);평균영양비용위(4851±538)원,명현소우PN조적(11320±1170)원(P=0.000)。 EN조영양지지무엄중병발증발생。결론결직장암환자복강경술후EN시안전、경제、가행적。여PN지지상비,EN가경유효지개선술후환자적영양상태,촉진장도공능적회복,강저주원비용,구유명현적우월성。
Objective To evaluate the efficacies of early enteral nutrition in patients with colorectal cancer after laparoscopic surgery .Methods A randomized contolled clinical trial was conducted on comparing the roles of early enteral nutrition ( EN ) group with parenteral nutrition ( PN ) group in 42 patients with colorectal cancer after laparoscopic surgery .The isonitrogenic and isocaloric intakes were performed in two groups .Nutritional state tests before operation and 1st and 7th day after operation were analysed .Nitrogen balance was measured daily .Statistic was made in complication rate of nutritional support after operation .Results The serum albumin in EN group was higher than that in PN group,and the blood glucose was lower than that in PN group (P<0.05).The time of gas passage through anus in EN group was shorter and cost of nutrition was less than those in the PN group ( P<0.05) .There was no severe complications of nutritional support in the EN group .Conclusions EN is safe and feasible after laparoscopic surgery.Comparing with PN support ,EN support can ameliorate more efficaciously the nutritional status of the patients undergone laparoscopic surgery ,accelerate the recovery of gastrointestinal tract function ,decrease the inhospital cost .