食管癌术后病人两种营养支持治疗的比较

目的:观察食管癌术后病人两种营养支持疗法的效果。方法:将80例食管癌术后病人随机分为肠外营养(PN)组和肠内营养(EN)组,所有病人在手术前1 d和术后第8天检测血红蛋白(Hb)、血清清蛋白(ALB)、前清蛋白(PA)、转铁蛋白(TF)、体质指数(BMI)以及肛门排气时间、住院时间和营养费用等指标。结果:两组病人术后血清ALB,住院时间、BMI、Hb比较无显著性差异(P>0.05)。EN组病人血清PA,TF明显高于PN组(P<0.05),术后肛门排气时间明显早于PN组(P<0.05),所用营养费用低于PN组。结论:两种营养支持治疗均可改善食管癌病人的营养状况,但EN与PN比,更具有符合生理、安全、价廉的优点。

Comparison of two nutrition support therapy in postoperative patients with esophageal cancer

Objective: To evaluate the effect of two nutrition support therapy in postoperative patients with esophageal cancer.Methods: Eighty patients with esophageal cancer were randomly divided into parenteral nutrition(PN,n=40)group and enteral nutrition(EN,n=40)group.Blood hemoglobin(Hb),serum albumin(ALB),prealbumin(PA),transferrin(TF),body mass index of all patients were measured before operation and on postoperative day 8.Anus exhaust time,length of hospital stay and nutrition cost were also recorded.Results: There was no significant difference between the two groups on postoperative serum albumin,length of hospital stay,body mass index and blood hemoglobin(P>0.05).Prealbumin and transferrin in the EN group were significantly higher than in the PN group(P<0.05).And the time of gas passage by anus in EN group was earlier and the cost of nutrition was less than those in the PN group(P<0.05).Conclusion: The two nutrition support methods can both improve the nutritional status.But enteral nutrition is more physiological,safe,inexpensive than parenteral nutrition.