胃肠道恶性肿瘤术后早期肠内营养与肠外营养对比

目的：分析比较早期肠内营养与肠外营养对胃肠道恶性肿瘤患者术后身体恢复、住院时间、术后并发症等情况的影响。方法选取该院100例胃肠道恶性肿瘤并进行手术治疗的患者，将其随机分为观察组和对照组，每组50例患者。观察组患者采用肠内营养，对照组患者采用肠外营养，检测两组患者术前体重、血清白蛋白、淋巴细胞总数等营养状况，比较两组患者术后住院时间、并发症发生率、发热时间等指标。结果两组患者在术后体重下降差异无统计学意义（P〉0.05）；观察组患者在术后白蛋白（27.15±8.24） g/L、淋巴细胞总数（1.48±0.86）×109/L、住院时间（17.2±6.9） d、并发症发生率4%、发热时间（3.8±1.6） d均优于对照组在术后白蛋白（23.65±5.45） g/L、淋巴细胞总数（1.13±0.42）×109/L、住院时间（7.2±3.3） d、并发症发生率14%、发热时间（28.5±5.6） d，差异有统计学意义（P〈0.05）。结论胃肠道恶性肿瘤术后早期肠内营养比肠外营养临床效果更显著，能够有效降低术后的并发症发生率，减少患者的住院时间，增强患者的免疫功能。

Comparison Between Early Enteral Nutrition and Parenteral Nutrition after the Resection of Gastrointestinal Malignant Tumor

Objective To compare the effect between early enteral nutrition and parenteral nutrition on the recovery of the patients, the length of stay and postoperative complications after the resection of gastrointestinal malignant tumor. Methods 100 cases of patients with gastrointestinal malignant tumor underwent surgical treatment in our hospital during 2010 to 2012 were selected and randomly divided into observation group and control group, 50 cases in each group. The patients in the observation group were given enteral nutrition, and those in the control group were treated by parenteral nutrition. Preoperative body weight, serum albu-min, total number of lymphocytes and other nutritional status of two groups of patients were detected, and the postoperative hospi-tal stay, complication rate, heating time and other indexes of these two groups were compared. Results there was no significant dif-ference in postoperative weight loss between two groups of patients（P〉0.05）;after the operation, the observation group＇s postopera-tive albumin was （27.15±8.24） g/L, total number of lymphocytes was（1.48±0.86）×109/L, length of stay was （17.2±6.9）d, the inci-dence of complications was 4%, heating time was （3.8 ±1.6） d, which was better than the control group＇s （23.65 ±5.45）g/L, （1.13 ± 0.42）×109/L,（7.2±3.3） d, 14%, （28.5±5.6） d, respectively, P〈0.05. Conclusion The effect of early enteral nutrition is better than that of parenteral nutrition after the resection of gastrointestinal malignant tumor, which can effectively reduce the incidence of postoperative complications, decrease the patient＆#39;s hospital stay and enhance the immunity of the patients.