胃癌术后早期不同营养支持方式的效果评价

目的：比较全胃肠外营养（TPN）和肠内营养（EN）对胃癌术后早期恢复的效果。方法：将78例胃癌手术病人随机分为EN组和对照组。EN组于术后第2天起给予EN制剂，对照组病人于术后第2天起给予TPN液。所有病人均于术前1天和术后第8天分别检测营养指标（血浆总蛋白、血浆清蛋白、血红蛋白和体重），临床指标（术后并发症、肛门排气时间和住院天数）。结果：EN组病人术后第8天血浆总蛋白、血浆清蛋白和体重指标均优于对照组（P＜0．05），两组血浆血红蛋白的变化无统计学差异（P＞0．05）；EN组术后与感染相关的并发症的发生率低于对照组；术后肛门排气时间和住院时间均比对照组缩短（P＜0．05）。结论：胃癌术后早期应用肠内营养，可明显改善机体的营养状况，减少术后并发症，缩短住院时间。

Clinical observation of early enteral nutrition in postoperative patients with gastric cancer

Objective：To investigate the clinical effect of early postoperative enteral and parenteral nutrition in postoperative patients with gastric cancer. Methods： 78 patients were divided into ENgroup （ n = 39 ） and control group （ n = 39 ）. Enteral nutrition and parenteral nutrition were given respectively. The level of nutrition status （ TB, ALB, Hb and body weight ） were detected before and after operation. The prognosis of the disease was compared between these two groups. Resuits： Compared with the control group,TB ,ALB and the body weight on 8d after operation were significantly higher in the EN group （ P 〈0.05 ） ,There was no significant difference between the two group on postoperative Hh;The complication correlated with infection in EN group was also significantly lower than in the control group. The time of gas passage by anus and the hospital stay in EN group was shorter than in control group （ P 〈0. 05 ）. Conclusion： Early enteral nutrition can not only improve nutritional status, but also promote the clinical effect in postoperative patients with gastric cancer.