CAJ | 학술논문

目的：探讨早期肠内营养对胃癌患者根治术后的临床结果的影响。方法将42例接受了胃癌根治术的患者随机分为2组：D1组和D2组。 D1组于术后24 h内开始早期肠内营养治疗（EN），D2组于术后24～72 h开始进行肠内营养治疗。比较分析第一次粪便通道天数、术后输注白蛋白剂量、术前和术后7天的血清白蛋白差异、术后传染以及全胃肠外营养状况。采用Mann-Whitney U检验和卡方检验进行统计分析。结果2组临床因素无统计学差异，D1组比D2组的肺炎发生率更高（P＝0．0308），2组间的传染性并发症频率无统计学差异。结论24 h内进行EN没有表现出明显的优势，应该根据患者病情将EN安排在24～72 h。
목적：탐토조기장내영양대위암환자근치술후적림상결과적영향。방법장42례접수료위암근치술적환자수궤분위2조：D1조화D2조。 D1조우술후24 h내개시조기장내영양치료（EN），D2조우술후24～72 h개시진행장내영양치료。비교분석제일차분편통도천수、술후수주백단백제량、술전화술후7천적혈청백단백차이、술후전염이급전위장외영양상황。채용Mann-Whitney U검험화잡방검험진행통계분석。결과2조림상인소무통계학차이，D1조비D2조적폐염발생솔경고（P＝0．0308），2조간적전염성병발증빈솔무통계학차이。결론24 h내진행EN몰유표현출명현적우세，응해근거환자병정장EN안배재24～72 h。
Objective To investigate the early enteral nutrition on clinical outcomes in gastric cancer patients after radi -cal gastrectomy .Methods 42 patients underwent radical gastrectomy were randomly divided into 2 groups:D1 group and D2 group.D1 group started early enteral nutrition ( EN) within 24 h after the surgery ,D2 group started enteral nutrition within 24 ~72 h after the surgery .First stool passage days after surgery ,postoperative albumin infusion dose ,preoperative and postoperative 7 days serum albumin difference , postoperative infection and total parenteral nutrition of the 2 groups were compared .Using the Mann-Whitney U test and the chi-square test for statistical analysis .Results The 2 groups had no statistical difference in clinical factors,incidence of pneumonia in the D1 group was higher than that of the D2 group (P=0.0308),the frequency of infectious complications were comparable between the 2 groups.Conclusion EN performed within 24 h does not show a clear advantage , and EN should be arranged within 24~72 h based on the patient's condition.