胃癌术后肠内高营养54例临床分析

目的：探讨胃癌术后肠内营养的临床特点及注意事项。方法：回顾性分析本院2010年1月-2012年1月胃癌术后肠内营养的患者（实验组）54例，对比同时期肠外营养途径患者（对照组）35例，观察两组患者在术后营养评估指标（血液总蛋白、白蛋白、前白蛋白、转铁蛋白）方面的差异，同时观察两组患者排气及相关肝脏功能情况。结果：两组患者均术后恢复良好，实验组与对照组在术后营养评估方面的变化比较差异具有统计学意义（P〈0．05）；在术后排气时间方面，实验组明显短于对照组（P〈0．05），术后肝功能方面实验组与对照组比较差异无统计学意义（P〉0．05）。结论：肠内营养可早期为机体提供术后恢复的营养物质，有利于胃癌患者术后的早期恢复，可作为胃癌患者术后的重要营养支持治疗途径。

Analysis of 54 Case with Gastric Enteral Nutrition

Objective： To investigate the clinical features of gastric enteral nutrition and precautions.Method： Selected author＇s hospital in January 2010-2012 January 54 cases of patients with gastric enteral nutrition （ experimental group ）, compared to the same period 35 cases of parenteral nutrition the ways patients （ control group ） were observedin the postoperative nutritional assessment indicators ： total blood protein, albumin, prealbumin, transferrin difference, and at the same time were observed exhaust and related liver function.Result： The patients were postoperative recovery was good, the experimental and control groups in postoperative nutritional assessment, albumin, prealbumin, transferrin change was a significant difference （ P〈0.05 ） ; postoperative exhaust timeaspeets of the experimental group was significantly shorter than the control group （ P〈0.05 ）, postoperative liver function, the experimental group and the control group, no significant difference （ P〉0.05 ） .Conclusion： Early postoperative enteral nutrition can recovery nutrients the body, and is conducive to the early recovery of gastric cancer patients, gastric cancer patients as an important nutritional support therapeutic approach.