胃癌根治术后早期肠内营养与肠外营养的疗效比较

目的 探讨胃癌根治术后经鼻肠营养管早期肠内营养（early enteral nutrition EEN）的疗效.方法 将61例胃癌术后患者随机分成早期肠内营养组31例和全胃肠外营养（total pareteral nutrition TPN）组30例.比较两种营养支持的疗效.结果 EEN组与TPN组相比,术后肛门排气时间显著提前（P＜0.05）,术后住院时间显著缩短（P0.05）,体重消耗值显著减少（P＜0.05）,营养结束后第2天的血清总蛋白、清蛋白水平有显著性差异（P＜0.05）.结论 经鼻肠营养管EEN比TPN优越,简便易行,宜予推广.

Cost- effctive comparison between early enteral nutrition and total parenteral nutrition on patients with radical gastric carcinoma resection

Objective To explore the cost - effectiveness of early enteral nutrition （ EEN ） via nosa - jejunum tube after radical gastric carcinoma resection. Methods Divide the 61 eases of patients with radical gastric carcinoma resection into two groups randomly ：31 cases of early enteral nutrition and 30 eases of total parenteral nutrion （ TPN ）. Compare the effects of the two nutrition supportive treatments. Results After surgery, Compared with that of the TPN group, EEN group has an earlier time of anal exhaust （ P 〈 0. 05 ） , a shorter duration of stay in hospital （ P 〈 0. 05 ）, a markedly decline in value of weight consumption （ P 〈 0.05 ）. On the second day after nutrition ,the differences in either serum total albumen levels or serum albumin levels are both significantly （ P 〈 0. 05 ）. Conclusion Via nosa - jejunum tube nutrition , EEN is more benefi- cial and convenient, also a preferable recommendation.