CAJ | 학술논문

目的:探讨胃癌术后肠内营养的临床特点及注意事项.方法:回顾性分析本院2010年1月-2012年1月胃癌术后肠内营养的患者(实验组)54例,对比同时期肠外营养途径患者(对照组)35例,观察两组患者在术后营养评估指标(血液总蛋白、白蛋白、前白蛋白、转铁蛋白)方面的差异,同时观察两组患者排气及相关肝脏功能情况.结果:两组患者均术后恢复良好,实验组与对照组在术后营养评估方面的变化比较差异具有统计学意义(P<0.05);在术后排气时间方面,实验组明显短于对照组(P<0.05),术后肝功能方面实验组与对照组比较差异无统计学意义(P>0.05).结论:肠内营养可早期为机体提供术后恢复的营养物质,有利于胃癌患者术后的早期恢复,可作为胃癌患者术后的重要营养支持治疗途径.
목적:탐토위암술후장내영양적림상특점급주의사항.방법:회고성분석본원2010년1월-2012년1월위암술후장내영양적환자(실험조)54례,대비동시기장외영양도경환자(대조조)35례,관찰량조환자재술후영양평고지표(혈액총단백、백단백、전백단백、전철단백)방면적차이,동시관찰량조환자배기급상관간장공능정황.결과:량조환자균술후회복량호,실험조여대조조재술후영양평고방면적변화비교차이구유통계학의의(P<0.05);재술후배기시간방면,실험조명현단우대조조(P<0.05),술후간공능방면실험조여대조조비교차이무통계학의의(P>0.05).결론:장내영양가조기위궤체제공술후회복적영양물질,유리우위암환자술후적조기회복,가작위위암환자술후적중요영양지지치료도경.
Objective:To investigate the clinical features of gastric enteral nutrition and precautions.Method:Selected author’s hospital in January 2010-2012 January 54 cases of patients with gastric enteral nutrition(experimental group),compared to the same period 35 cases of parenteral nutrition the ways patients(control group)were observedin the postoperative nutritional assessment indicators:total blood protein,albumin,prealbumin, transferrin difference,and at the same time were observed exhaust and related liver function.Result:The patients were postoperative recovery was good,the experimental and control groups in postoperative nutritional assessment,albumin,prealbumin,transferrin change was a significant difference (P<0.05);postoperative exhaust timeaspects of the experimental group was significantly shorter than the control group(P<0.05),postoperative liver function,the experimental group and the control group,no significant difference(P>0.05).Conclusion:Early postoperative enteral nutrition can recovery nutrients the body,and is conducive to the early recovery of gastric cancer patients,gastric cancer patients as an important nutritional support therapeutic approach.