CAJ | 학술논문

目的探讨早期肠内营养(EEN)与全肠外营养(TPN)对胃癌合并糖尿病患者术后恢复情况的影响.方法将我院2011年1月至2013年7月收治的76例胃癌合并糖尿病术后患者按不同营养支持方法分为EEN组和TPN组,EEN组采用早期肠内营养法,TPN组采用全肠外营养法,比较两组患者术后不同时间肝功能以及营养指标、血糖变化、胃肠道恢复情况以及并发症情况.结果术后第4 d EEN组肝功能以及各项营养指标的恢复水平均远高于TPN组,差异有统计学意义(P＜0.05).术后8d内TPN组患者血糖波动水平较EEN组大,且波动值高于EEN组,差异有统计学意义(P＜0.05).EEN组肛门排气时间远低于TPN组,差异有统计学意义(P＜0.05);EEN组无一例并发症,并发症发生率远低于TPN组,差异有统计学意义(P＜0.05).结论采用早期肠内营养对胃癌合并糖尿病术后患者进行营养支持可有效改善患者营养状况,不仅能维持血糖平稳,也能降低术后并发症发生率,对促进患者身体恢复具有良好作用.
목적 탐토조기장내영양(EEN)여전장외영양(TPN)대위암합병당뇨병환자술후회복정황적영향.방법 장아원2011년1월지2013년7월수치적76례위암합병당뇨병술후환자안불동영양지지방법분위EEN조화TPN조,EEN조채용조기장내영양법,TPN조채용전장외영양법,비교량조환자술후불동시간간공능이급영양지표、혈당변화、위장도회복정황이급병발증정황.결과 술후제4 d EEN조간공능이급각항영양지표적회복수평균원고우TPN조,차이유통계학의의(P＜0.05).술후8d내TPN조환자혈당파동수평교EEN조대,차파동치고우EEN조,차이유통계학의의(P＜0.05).EEN조항문배기시간원저우TPN조,차이유통계학의의(P＜0.05);EEN조무일례병발증,병발증발생솔원저우TPN조,차이유통계학의의(P＜0.05).결론 채용조기장내영양대위암합병당뇨병술후환자진행영양지지가유효개선환자영양상황,불부능유지혈당평은,야능강저술후병발증발생솔,대촉진환자신체회복구유량호작용.
Objective To investigate the influence on postoperative recovery of early enteral nutrition (EEN) and total parenteral nutrition (TPN) in patients with diabetes undergoing gastrectomy for gastric cancer.Methods 76 patients with diabetes undergoing gastrectomy for gastric cancer in our hospital from February 2012 to July 2012 were divided into EEN group and TPN group according to the different methods of nutritional support,EEN group was treated with EEN,and TPN group was treated with TPN,the liver function,nutritional indexes,the change of blood glucose,gastrointestinal recovery and the complications of two groups in different time were compared.Results The liver function and nutritional indexes of EEN group on the fourth day were much higher than those in TPN group,the difference was statistically significant (P ＜ 0.05).8 days after operation the blood glucose fluctuation values of TPN group was larger compared with that of the EEN group,and the fluctuation value was higher than that of EEN group,the difference was statistically significant (P ＜ 0.05).Anal exhaust time of EEN group was much lower than that of TPN group,the difference was statistically significant (P ＜ 0.05).EEN group had no complications,the complication rate was far lower than that in TPN group,the difference was statistically significant (P ＜ 0.05).Conclusion Taking EEN in gastric cancer patients complicated with diabetes as postoperative nutritional support can improve the nutritional status of patients,not only can keep blood sugar stable,but also has a lower incidence of postoperative complications,which can promote the rehabilitation of patients with good effect on the body.