CAJ | 학술논문

目的：分析比较早期肠内营养与肠外营养对胃肠道恶性肿瘤患者术后身体恢复、住院时间、术后并发症等情况的影响。方法选取该院100例胃肠道恶性肿瘤并进行手术治疗的患者，将其随机分为观察组和对照组，每组50例患者。观察组患者采用肠内营养，对照组患者采用肠外营养，检测两组患者术前体重、血清白蛋白、淋巴细胞总数等营养状况，比较两组患者术后住院时间、并发症发生率、发热时间等指标。结果两组患者在术后体重下降差异无统计学意义（P>0.05）；观察组患者在术后白蛋白（27.15±8.24） g/L、淋巴细胞总数（1.48±0.86）×109/L、住院时间（17.2±6.9） d、并发症发生率4%、发热时间（3.8±1.6） d均优于对照组在术后白蛋白（23.65±5.45） g/L、淋巴细胞总数（1.13±0.42）×109/L、住院时间（7.2±3.3） d、并发症发生率14%、发热时间（28.5±5.6） d，差异有统计学意义（P<0.05）。结论胃肠道恶性肿瘤术后早期肠内营养比肠外营养临床效果更显著，能够有效降低术后的并发症发生率，减少患者的住院时间，增强患者的免疫功能。
목적：분석비교조기장내영양여장외영양대위장도악성종류환자술후신체회복、주원시간、술후병발증등정황적영향。방법선취해원100례위장도악성종류병진행수술치료적환자，장기수궤분위관찰조화대조조，매조50례환자。관찰조환자채용장내영양，대조조환자채용장외영양，검측량조환자술전체중、혈청백단백、림파세포총수등영양상황，비교량조환자술후주원시간、병발증발생솔、발열시간등지표。결과량조환자재술후체중하강차이무통계학의의（P>0.05）；관찰조환자재술후백단백（27.15±8.24） g/L、림파세포총수（1.48±0.86）×109/L、주원시간（17.2±6.9） d、병발증발생솔4%、발열시간（3.8±1.6） d균우우대조조재술후백단백（23.65±5.45） g/L、림파세포총수（1.13±0.42）×109/L、주원시간（7.2±3.3） d、병발증발생솔14%、발열시간（28.5±5.6） d，차이유통계학의의（P<0.05）。결론위장도악성종류술후조기장내영양비장외영양림상효과경현저，능구유효강저술후적병발증발생솔，감소환자적주원시간，증강환자적면역공능。
Objective To compare the effect between early enteral nutrition and parenteral nutrition on the recovery of the patients, the length of stay and postoperative complications after the resection of gastrointestinal malignant tumor. Methods 100 cases of patients with gastrointestinal malignant tumor underwent surgical treatment in our hospital during 2010 to 2012 were selected and randomly divided into observation group and control group, 50 cases in each group. The patients in the observation group were given enteral nutrition, and those in the control group were treated by parenteral nutrition. Preoperative body weight, serum albu-min, total number of lymphocytes and other nutritional status of two groups of patients were detected, and the postoperative hospi-tal stay, complication rate, heating time and other indexes of these two groups were compared. Results there was no significant dif-ference in postoperative weight loss between two groups of patients(P>0.05);after the operation, the observation group's postopera-tive albumin was (27.15±8.24) g/L, total number of lymphocytes was(1.48±0.86)×109/L, length of stay was (17.2±6.9)d, the inci-dence of complications was 4%, heating time was (3.8 ±1.6) d, which was better than the control group's (23.65 ±5.45)g/L, (1.13 ± 0.42)×109/L,(7.2±3.3) d, 14%, (28.5±5.6) d, respectively, P<0.05. Conclusion The effect of early enteral nutrition is better than that of parenteral nutrition after the resection of gastrointestinal malignant tumor, which can effectively reduce the incidence of postoperative complications, decrease the patient's hospital stay and enhance the immunity of the patients.