中华普通外科学文献（电子版）
中華普通外科學文獻（電子版）
중화보통외과학문헌（전자판）
Chinese Archives of General Surgery(Electronic Edition)
2015年
6期
467-470
,共4页
肠道营养%胃肿瘤%免疫增强型%免疫功能
腸道營養%胃腫瘤%免疫增彊型%免疫功能
장도영양%위종류%면역증강형%면역공능
Enteral nutrition%Stomach neoplasms%Immune-enhancing%Immune Function
目的 观察免疫增强型肠内营养制剂对老年胃癌患者术后免疫功能以及营养状态的影响,为此类患者的有效治疗方法提供参考.方法 选择2014年1月至2015年2月胃癌手术后进行化疗的80例患者,按照随机数表法分为对照组(采用常规的肠内营养制剂)和观察组(采用免疫增强型肠内营养制剂),各40例.比较两组患者的免疫球蛋白、T细胞亚群、化疗之后营养指标以及住院天数、排便时间以及首次排气时间.结果 治疗后观察组患者的IgM、IgG、IgA上升幅度显著优于对照组,CD3、CD4、CD8明显优于对照组,TF、PA、ALB、Hb均高于对照组,差异有统计学意义(P<0.05);观察组患者住院天数、排便时间以及首次排气时间明显短于对照组,差异有统计学意义(P<0.05).结论 胃癌术后化疗通过免疫增强型肠内营养制剂能够显著改善免疫功能,缩短患者的住院时间,值得在临床上推广.
目的 觀察免疫增彊型腸內營養製劑對老年胃癌患者術後免疫功能以及營養狀態的影響,為此類患者的有效治療方法提供參攷.方法 選擇2014年1月至2015年2月胃癌手術後進行化療的80例患者,按照隨機數錶法分為對照組(採用常規的腸內營養製劑)和觀察組(採用免疫增彊型腸內營養製劑),各40例.比較兩組患者的免疫毬蛋白、T細胞亞群、化療之後營養指標以及住院天數、排便時間以及首次排氣時間.結果 治療後觀察組患者的IgM、IgG、IgA上升幅度顯著優于對照組,CD3、CD4、CD8明顯優于對照組,TF、PA、ALB、Hb均高于對照組,差異有統計學意義(P<0.05);觀察組患者住院天數、排便時間以及首次排氣時間明顯短于對照組,差異有統計學意義(P<0.05).結論 胃癌術後化療通過免疫增彊型腸內營養製劑能夠顯著改善免疫功能,縮短患者的住院時間,值得在臨床上推廣.
목적 관찰면역증강형장내영양제제대노년위암환자술후면역공능이급영양상태적영향,위차류환자적유효치료방법제공삼고.방법 선택2014년1월지2015년2월위암수술후진행화료적80례환자,안조수궤수표법분위대조조(채용상규적장내영양제제)화관찰조(채용면역증강형장내영양제제),각40례.비교량조환자적면역구단백、T세포아군、화료지후영양지표이급주원천수、배편시간이급수차배기시간.결과 치료후관찰조환자적IgM、IgG、IgA상승폭도현저우우대조조,CD3、CD4、CD8명현우우대조조,TF、PA、ALB、Hb균고우대조조,차이유통계학의의(P<0.05);관찰조환자주원천수、배편시간이급수차배기시간명현단우대조조,차이유통계학의의(P<0.05).결론 위암술후화료통과면역증강형장내영양제제능구현저개선면역공능,축단환자적주원시간,치득재림상상추엄.
Objective To observe the effect of postoperative immune-enhancing enteral nutri-tion on elderly gastric cancer patients. Methods Eighty patients undergoing chemotherapy after stomach cancer surgery were chosen from January 2014 to February 2015. According to the random number table method, patients were divided into control group and observation group, with 40 patients in each group. The observation group were treated with immune-enhancing enteral nutrition, while the control group with conventional enteral nutrition. Immunoglobulin, T cell subsets, nutrition indicators after chemotherapy, hospital stay defecation, and the first exhaustion time in two groups were compared. Results After treat-ment, compared to the control group, in the observation group IgM, IgG, IgA increased significantly, CD3, CD4, CD8, TF, PA, ALB, Hb were higher (P<0.05), hospital stay time, defecation time and the first exhaustion time were significantly shorter, and these differences were statistically significant ( P<0.05). Conclusion Postoperative chemotherapy in gastric cancer patients can significantly improve the immune function, and shorten the length of hospital stay, which is worthy of clinical promotion.
