CAJ | 학술논문

目的探讨营养干预中不同维生素矿物质比在胃癌围手术期的临床效果。方法21例胃癌全胃切除术患者分为3组，所有患者手术后第1天开始行早期肠内营养支持，A组患者给予高维生素低微量元素比营养支持，B组患者给予中维生素微量元素比营养支持，C组患者给予低维生素低微量元素比营养支持，并在营养支持前后测定体重、血红蛋白、前白蛋白、血清白蛋白、肝肾功能、血糖、电解质、排气时间。结果21例病例在研究期间无死亡,无严重并发症,肝肾功能无变化。各组间术前营养指标具备可比性。A组营养指标显著优于B、C两组且与术前营养水平无统计学差异。结论少量微量元素配合大量维生素应用于营养支持中可以取得更好的疗效，适合运用于胃癌全切术的围手术期治疗和护理。
목적탐토영양간예중불동유생소광물질비재위암위수술기적림상효과。방법21례위암전위절제술환자분위3조，소유환자수술후제1천개시행조기장내영양지지，A조환자급여고유생소저미량원소비영양지지，B조환자급여중유생소미량원소비영양지지，C조환자급여저유생소저미량원소비영양지지，병재영양지지전후측정체중、혈홍단백、전백단백、혈청백단백、간신공능、혈당、전해질、배기시간。결과21례병례재연구기간무사망,무엄중병발증,간신공능무변화。각조간술전영양지표구비가비성。A조영양지표현저우우B、C량조차여술전영양수평무통계학차이。결론소량미량원소배합대량유생소응용우영양지지중가이취득경호적료효，괄합운용우위암전절술적위수술기치료화호리。
Objective To investigate the clinical effect of the nutrition intervention of different vitamins and minerals proportion during the perioperative period of total gastrectomy. Methods 21 cases total gastrectomy for gastric cancer patients were divided into three groups and all patients started early enteral nutrition support on the first days after operation. Group A,B,C were respectively treated with high, middle and low vitamin and minerals proportion nutritional support, and the body weight, hemoglobin, prealbumin, plasma protein, liver and kidney function, blood glucose, electrolytes, exhaust time before and after nutrition support were recorded. Results 21 cases with no death , no serious complications, liver and kidney function had no change during the study. Nutritional index of group A was superior to that of groups B, C and have no statistical difference with the preoperative nutritional level. Conclusions Effect of a few mineral with a large number of vitamins used in nutrition support can achieve better, and suitable for nursing and treatment in operation period of total gastrectomy.