CAJ | 학술논문

目的：探讨食管癌术后早期肠内营养（ EEN ）与全胃肠外营养（ TPN ）的临床疗效。方法按术后营养支持方式的不同，分为EEN组50例，TPN组50例，其中EEN组于术后早期行肠内营养支持；TPN组经中心静脉给予全胃肠外营养支持，对比观察两组病人术后的恢复情况，包括术后并发症发生情况，肠鸣音恢复、肛门恢复排气时间，血液检测指标，术后住院时间，营养支持费用，出院后首次复诊的营养状况。结果 EEN组较TPN组肺部感染率低、肠鸣音恢复、肛门排气时间明显缩短（P＜0．05），患者体重、血红蛋白检测值术后第3、5、7天和出院后1月首次复诊EEN组明显高于TPN组（P＜0．05），术后住院时间缩短、营养支持费用降低。结论食管癌术后早期肠内营养安全可行，可有效改善患者营养状况，提高患者术后早期免疫功能，促进患者康复，缩短住院时间，减少营养支持费用，值得临床推广。
목적：탐토식관암술후조기장내영양（ EEN ）여전위장외영양（ TPN ）적림상료효。방법안술후영양지지방식적불동，분위EEN조50례，TPN조50례，기중EEN조우술후조기행장내영양지지；TPN조경중심정맥급여전위장외영양지지，대비관찰량조병인술후적회복정황，포괄술후병발증발생정황，장명음회복、항문회복배기시간，혈액검측지표，술후주원시간，영양지지비용，출원후수차복진적영양상황。결과 EEN조교TPN조폐부감염솔저、장명음회복、항문배기시간명현축단（P＜0．05），환자체중、혈홍단백검측치술후제3、5、7천화출원후1월수차복진EEN조명현고우TPN조（P＜0．05），술후주원시간축단、영양지지비용강저。결론식관암술후조기장내영양안전가행，가유효개선환자영양상황，제고환자술후조기면역공능，촉진환자강복，축단주원시간，감소영양지지비용，치득림상추엄。
Objective To inquire the clinical effect of early enteral nutrition ( EEN) and total parental nutrition( TPN) into postoperative patients with esophageal cancer.Methods According to the difference of postoperative nutritional support, we divided the patients into the EEN and the TPN, each group consisted of 50 people .The EEN was offered early enteral nutrition when the TPN was offered total parental nutrition in the early stage of surgery.We compared the health condition of two groups, including the postoperative complications, bowel sound recovery, the time of anal resume exhaust, the indicators of blood, the hospital stayed after surgery, the nutritional costs and the nutritional status of reexamination when they were discharged from hospital after recovery.Results The EEN had lower lung infection rate than the TPN, the time of Bowel sound recovering and anal resume exhaust were significantly reduced(P<0.05).We tested patients'weight and hemoglobin in the tree day, the five day, the seven day after the operations'completion and the first month they were discharged from hospital after recovery, the EEN's was significantly higher than the TPN's(P<0.05).We had detected that the EEN had less hospital stays and nutritional support cost.Conclusions The early enteral nutrition ( EEN) is safer and effective, patients can improve their nutritional status, early immune function.EEN can reduce the hospital stays, nutritional support costs and promote the rehabilitation in the patients.