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
5期
2077-2081
,共5页
胃肠外营养%肠道营养%Meta分析%胃癌根治术
胃腸外營養%腸道營養%Meta分析%胃癌根治術
위장외영양%장도영양%Meta분석%위암근치술
Parenteral nutrition%Enteral nutrition%Meta-analysis%Radical operation for carcinoma of stomach
目的评价肠内与肠外营养支持治疗对胃癌根治手术后患者术后第7天血清白蛋白水平、并发症的发生率及术后排气恢复时间,进而确定胃癌术后的最佳营养支持方法。方法检索CNKI、万方和维普数据库,根据临床和统计标准进行台并分析。结果(1)共纳入29个符合要求的研究,包括胃癌根治术患者2407例。(2)采用固定效应模式分析合并后的结果显示:肠内营养组和肠外营养组的术后第7天血清白蛋白水平的OR(95%CI)值为0.51(0.14,0.87),两组差异有统计学意义(P=0.007)。肠内营养组和肠外营养组的并发症的发生率的OR(95%CI)合并值为0.42(0.32,0.55),两组差异有统计学意义(P<0.01);肠内营养组和肠外营养组的术后排气恢复时间的OR(95% CI)合并值为-18.43(-19.68,-17.18),两组差异有统计学意义( P<0.01)。结论胃癌根治术后的患者,采用肠内营养支持方法血清白蛋白恢复更快,并发症的发生率更少,术后排气恢复时间更短,所以肠内营养支持方法为目前胃癌根治术后患者的最佳营养方法。
目的評價腸內與腸外營養支持治療對胃癌根治手術後患者術後第7天血清白蛋白水平、併髮癥的髮生率及術後排氣恢複時間,進而確定胃癌術後的最佳營養支持方法。方法檢索CNKI、萬方和維普數據庫,根據臨床和統計標準進行檯併分析。結果(1)共納入29箇符閤要求的研究,包括胃癌根治術患者2407例。(2)採用固定效應模式分析閤併後的結果顯示:腸內營養組和腸外營養組的術後第7天血清白蛋白水平的OR(95%CI)值為0.51(0.14,0.87),兩組差異有統計學意義(P=0.007)。腸內營養組和腸外營養組的併髮癥的髮生率的OR(95%CI)閤併值為0.42(0.32,0.55),兩組差異有統計學意義(P<0.01);腸內營養組和腸外營養組的術後排氣恢複時間的OR(95% CI)閤併值為-18.43(-19.68,-17.18),兩組差異有統計學意義( P<0.01)。結論胃癌根治術後的患者,採用腸內營養支持方法血清白蛋白恢複更快,併髮癥的髮生率更少,術後排氣恢複時間更短,所以腸內營養支持方法為目前胃癌根治術後患者的最佳營養方法。
목적평개장내여장외영양지지치료대위암근치수술후환자술후제7천혈청백단백수평、병발증적발생솔급술후배기회복시간,진이학정위암술후적최가영양지지방법。방법검색CNKI、만방화유보수거고,근거림상화통계표준진행태병분석。결과(1)공납입29개부합요구적연구,포괄위암근치술환자2407례。(2)채용고정효응모식분석합병후적결과현시:장내영양조화장외영양조적술후제7천혈청백단백수평적OR(95%CI)치위0.51(0.14,0.87),량조차이유통계학의의(P=0.007)。장내영양조화장외영양조적병발증적발생솔적OR(95%CI)합병치위0.42(0.32,0.55),량조차이유통계학의의(P<0.01);장내영양조화장외영양조적술후배기회복시간적OR(95% CI)합병치위-18.43(-19.68,-17.18),량조차이유통계학의의( P<0.01)。결론위암근치술후적환자,채용장내영양지지방법혈청백단백회복경쾌,병발증적발생솔경소,술후배기회복시간경단,소이장내영양지지방법위목전위암근치술후환자적최가영양방법。
Objective To evaluate postoperative the seventh day of the serum albumin level ,the incidence of complications and postoperative recovery time of gastrointestinal function after EN and PN application for patients post gastric cancer operation ,and determine the optimum nutrition method .Methods Retrieval CNKI,WANFANG database ,VIP database .The combinated studies were assessed in terms of clinical and statistical criteria by Meta-analysis.Results (1)A total of 29 to meet the requirements of research,including 2407 cases of patients with gastric cancer radical mastectomy.(2)The seventh day of the serum albumin level OR(95% CI)value was 0.51 (0.14,0.87 ), two groups ( enteral and parenteral nutrition ) was significant ( P =0.007 ).The incidence of complications OR ( 95% CI ) value was 0.42 ( 0.32 , 0.55 ) , two groups ( enteral and parenteral nutrition ) was significant(P<0.01).Postoperative recovery time of gastrointestinal OR(95%CI)value was -18.43(-19.68,-17.18 ) ,two groups ( enteral and parenteral nutrition ) was significant ( P<0.01 ) .Conclusions For patients post gastric cancer operation , compared with PN group , postoperative the seventh day of the serum albumin level was higher ,the incidence of complications was lower and the recovery of gastrointestinal function was faster for EN group . So enteral nutrition support method is the optimum nutrition method for postoperative gastric cancer patients .