| 肠内营养在实施加速康复外科的老年胃癌患者中的应用 |
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| 引用本文： | 鲍晨辉,赵 滢. 肠内营养在实施加速康复外科的老年胃癌患者中的应用[J]. 现代肿瘤医学, 2018, 0(1): 84-87. DOI: 10.3969/j.issn.1672-4992.2018.01.022 |
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| 作者姓名： | 鲍晨辉 赵 滢 |
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| 作者单位： | 中国医科大学附属盛京医院胃肠外科，辽宁 沈阳 110004 |
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| 基金项目： | 辽宁省科技厅自然基金（编号:2014021024） |
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| 摘 要： | 目的:探讨肠内营养在实施加速康复外科的老年胃癌患者中的应用。方法:选取我科2014年1月至2015年12月采用加速康复策略的144名老年胃癌患者（年龄＞60岁），随机分成肠内营养组和经口进食组，每组72例。分析比较经口进食与肠内营养在老年胃癌患者术后康复过程及并发症出现的差异。结果:两组患者年龄、性别比等一般资料均无明显差异性(P>0.05)，肠内营养组患者的首次排气时间、排便时间、住院时间、术后首次化疗时间都明显短于经口进食组，差异都具有统计学的意义(P<0.05）。手术前，两组患者ALB、PALB、IgG、IgA指标无明显差异性(P>0.05)；手术后，肠内营养组患者ALB、PALB、IgG、IgA水平明显高于经口进食组，差异有统计学意义(P<0.05）。经口进食组在术后并发症包括吻合口瘘、肺内感染、切口感染的发生率上高于肠内营养组，存在统计学差异(P<0.05），两组在深静脉血栓形成的发生上并无明显差异性(P>0.05)。结论:在实施加速康复的老年胃癌患者中，术后予以早期肠内营养支持的效果优于经口进食，肠内营养在加速康复策略实施过程中更具有安全性与有效性。
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| 关 键 词： | 加速康复外科 胃癌 老年 肠内营养 |
Application of enteral nutrition in elderly gastric cancer patients treated by fast track surgery |
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| Bao Chenhui,Zhao Ying. Application of enteral nutrition in elderly gastric cancer patients treated by fast track surgery[J]. Journal of Modern Oncology, 2018, 0(1): 84-87. DOI: 10.3969/j.issn.1672-4992.2018.01.022 |
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| Authors: | Bao Chenhui Zhao Ying |
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| Affiliation: | Department of Gastrointestinal Surgery，Shengjing Hospital of China Medical University,Liaoning Shengyang 110004，China. |
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| Abstract: | Objective:To investigate application of enteral nutrition in elderly gastric cancer patients treated by fast track surgery．Methods:144 elderly patients(age>60 years) from January 2014 to December 2015 were randomly divided into two groups，group EN (enteral nutrition，72 cases) and group OFN (oral feeding nutrition，72 cases).The postoperative rehabilitation process and the difference of postoperative complications were compared．Results:There were no difference in characteristics of patients such as age and gender ratio(P>0.05).The first exhaust time，first defecation time，hospitalization time，first chemotherapy time of group EN were shorter than those of the group OFN (P<0.05).Before operation，there were no significant difference between two groups in ALB，PALB，IgA and IgG level(P>0.05).After operation，ALB，PALB，IgA and IgG level in group EN were significantly higher than that in group OFN，with statistically significant difference(P<0.05).The incidence of anastomotic leakage，pneumonia and incision infection in group OFN was higher than that in group EN，with statistically significant difference(P<0.05).There were no significant difference between two groups in deep-vein thrombosis(P>0.05)．Conclusion:In the implementation of accelerated FTS of elderly patients with gastric cancer，the supportive treatment of early enteral nutrition has a better supportive efficacy than the supportive treatment of oral feeding.Enteral nutritionin has more safety and effectiveness in implementation of FTS． |
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| Keywords: | FTS gastric cancer elderly enteral nutrition |
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