胃癌术后早期应用肠内营养支持35例分析

目的评估胃癌术后早期使用肠内营养的临床价值。方法将70例胃癌患者随机分为肠内营养组（EN组）和肠外营养组（PN组），EN组患者使用肠内营养支持，PN组患者使用肠外营养支持，并观察记录各项营养指标和康复情况。结果两组术前和术后第7天体重的变化差异无统计学意义（P〉0．05），而EN组的白蛋白和转铁蛋白增加更明显（P〈0．05），EN组的临床指标（排气时间、排便时间、半流质时间）均比PN组短（P〈0．05），且EN组的并发症比PN组少。结论胃癌术后早期应用肠内营养支持对患者的康复有很好的促进作用，能够减轻患者的经济负担，可作为首选的理想营养方式。

The effect and nursing of the early use of EN support after resection of gastric carcinoma

Objective To estimate the clinical value of the early use of enteral nutrition after resection of gastric carcinoma.Methods Divided 70 patients with gastric carcinoma into group EN and group PN.Group EN was applied with the EN support,while group PN was applied with the PN support,and observed the nutrition index and rehabilitation.Results Before the operation and 7 days after the operation,the weight between two groups had no statistical differences(P > 0.05).But albumin and transferrin of group EN increased more highly than those of group PN(P < 0.05).The clinical indicators of group EN were less than group PN(P < 0.05).At the same time,the side-effects of group EN were also less than group PN.Conclusion After the operation of gastric carcinoma,the early use of EN support can promote the recovery and lighten economic burden.So it would be an ideal nutrition support to be chosed first.