CAJ | 학술논문

目的：探讨老年胃癌患者全胃切除后使用膳食纤维素营养液肠内营养（EN）的效果。方法将40例60岁以上胃癌全胃切除患者，随机将其分为两组，试验组20例采用能全力（TPF）10 d；对照组20例采用等氮、等热卡、等时间肠外营养（PN）。结果术后第10天，两组患者的白蛋白、体质量、三角肌皮折厚度均接近术前1 d的水平（P＞0.05）。对照组的谷氨酰胺明显降低（P＜0.05）。另外试验组术后肠蠕动恢复时间提前（P＜0.01）。结论老年胃癌患者全胃切后，使用纤维素营养液肠内营养，安全有效，其效果优于肠外营养。
목적：탐토노년위암환자전위절제후사용선식섬유소영양액장내영양（EN）적효과。방법장40례60세이상위암전위절제환자，수궤장기분위량조，시험조20례채용능전력（TPF）10 d；대조조20례채용등담、등열잡、등시간장외영양（PN）。결과술후제10천，량조환자적백단백、체질량、삼각기피절후도균접근술전1 d적수평（P＞0.05）。대조조적곡안선알명현강저（P＜0.05）。령외시험조술후장연동회복시간제전（P＜0.01）。결론노년위암환자전위절후，사용섬유소영양액장내영양，안전유효，기효과우우장외영양。
Objective To study the effect of complete-fibrin-intestinal sustaining available for the senior patients of gastric carcinoma complete gastrectomy.Methods Forty patients above 60-year old were divided into 2 groups randomly: study group who were remedied by TPF as intestinal sustaining available for 10 days after the operation and control group remedied by alimentation fluids peri-intestinaly (PN),and the nitrogen and calories contents were the same as TPF for 10 days.Results The weight, thickness of deltoid skin pucker and serum albumin level were al restored to the level before operation for patients of the two groups(P>0.05)10 days after the operation, and there is a remarkably decreasing of the glutamine for the patients of control group(P<0.05).Conclusion Intestinal complete fibrin sustaining therapy is safe and effective for senior patients of gastric carcinoma after complete gastrectomy.