胃癌全胃及近端切除术后肠内营养治疗的临床研究

目的：通过对全胃及近端切除术后的患者给予人营养治疗的方法，探讨人营养对全胃及近端切除术后患者的疗效及可行性。方法：选择行近端或全胃切除的胃癌患者４０例，随机分为两组，１组（对照组）２０例，术后接受９天常规周围静脉补液。２组（试验组）２０例，术后７２ｈ后开始人营养治疗（连续７天）。对两组患者、术后进行营养状态评价。结果：试验组患者术后体重及营养状态均较对照组有明显改善，组间差异显著（Ｐ〈０．０１）。

Clinical Study on Enteral Nutrition after Total or Proximal Gastrectomy for Stomach Cancer

Objective: This study is designed to compare the effects of the nourishment for patients undergoing gastric cancer operations comparing enteral nutrition (EN) with parenteral. Methods: Forty patients undergoing cardia or total gastrectomies were allocated to two groups randomly. The control group received routine peripheral parenteral infusion and, the test group was given EN for seven days consecutively from the third day after the operation. The pre-and post-operative nutritional status of these two groups were collected. Results: The body weight and nutritional status were better in the test group. The difference between the two groups was significant ( P < 0.01). Conclusion: The enteral nutritional support after gastrectomy for cancer is an effective way of postoperative nutritional support and is safe, reliable, simple and clinically valuable.