CAJ | 학술논문

目的：观察食管癌患者术后早期施行肠内营养的临床效果。方法回顾性分析2008年1月～2012年12月我院行食管癌手术96例，其中42例实施全静脉营养，54例给予早期肠内营养；比较两组患者术后并发症的发生情况及胃肠功能恢复情况。结果食管癌术后早期肠内营养术后并发症，术后胃肠功能恢复时间，下床活动及住院时间均优于全静脉组（P＜0.05）。术后并发症中肺部感染、吻合口瘘、切口感染在两组中分别是18.5%、1.85%、3.70%和38.1%、11.91%、16.7%，且两组间差异有统计学意义（P＜0.05）。结论食管癌术后早期肠内营养是安全有效，其相比于全静脉营养组可改善胃肠功能恢复及降低术后并发症。
목적：관찰식관암환자술후조기시행장내영양적림상효과。방법회고성분석2008년1월～2012년12월아원행식관암수술96례，기중42례실시전정맥영양，54례급여조기장내영양；비교량조환자술후병발증적발생정황급위장공능회복정황。결과식관암술후조기장내영양술후병발증，술후위장공능회복시간，하상활동급주원시간균우우전정맥조（P＜0.05）。술후병발증중폐부감염、문합구루、절구감염재량조중분별시18.5%、1.85%、3.70%화38.1%、11.91%、16.7%，차량조간차이유통계학의의（P＜0.05）。결론식관암술후조기장내영양시안전유효，기상비우전정맥영양조가개선위장공능회복급강저술후병발증。
Objective To investigate the effect of postoperative early enteral nutrition (EN) in esophageal cancer. Methods A total of 96 patients with esophageal cancer who underwent surgical treatment in our hospital from January 2008 to December 2012 were enrolled in this study. They were divided into total parenteral nutrition group (n=42) and enteral nutrition (EN) group (n=54) based on the nutrition support modes. Complications, gastrointestinal function recovery after the surgery were recorded and analyzed. Results Complications, the time to gastrointestinal function recovery and ambulation ,average hospital stay less in EN group than those in total parenteral nutrition group (P<0.05). The complication rates of pulmonary infection,anastomotic fistula, incision infection were 18.5%, 1.85%, 3.70%in EN group, and 38.1%, 11.91%, 16.7% in total parenteral nutrition group. There were significant differences between the two groups (P<0.05). Conclusion Early postoperative enteral nutrition after esophageal carcinoma surgery is safe and effective, which can improve gastrointestinal function recovery and reduce complications in comparison with total parenteral nutrition.