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老年胃癌患者全胃切除术后早期肠内营养与肠外营养疗效的比较
引用本文:刘斌,于东风. 老年胃癌患者全胃切除术后早期肠内营养与肠外营养疗效的比较[J]. 中国医师进修杂志, 2006, 29(14): 23-24
作者姓名:刘斌  于东风
作者单位:230032,合肥,安徽医科大学第一附属医院普外科
摘    要:目的探讨因胃癌行全胃切除的老年患者术后早期肠内营养的可行性及疗效。方法对2003年6月~2005年6月因胃癌行全胃切除的66例老年患者,术后随机分为早期肠内营养(EEN)组34例与肠外营养(PN)组32例,并进行比较分析。结果EEN组与PN组的术后营养指标及并发症发生率比较差异无统计学意义,但EEN组较PN组术后肠道功能恢复早、住院时间短。结论术后EEN支持治疗有较好的安全性和耐受性,有利于老年全胃切除患者肠道功能恢复,缩短患者住院时间,费用低廉,实施方便。

关 键 词:老年人  早期肠内营养  胃癌  全胃切除术
修稿时间:2005-11-22

Clinical study on early enteral nutrition and parenteral mutrition after total gastrectomy in elder of gastric cancer patients
LIU Bin,YU Dong-feng. Clinical study on early enteral nutrition and parenteral mutrition after total gastrectomy in elder of gastric cancer patients[J]. Chinese Journal of Postgraduates of Medicine, 2006, 29(14): 23-24
Authors:LIU Bin  YU Dong-feng
Abstract:Objective To study feasibility and effects of early enteral nutrition(EEN) after total gastrectomy in elderly patients of gastric cancer. Methods Sixty-six cases of gastric cancer underwent total gastrectomy were divided into two groups randomly. One group was treated with EEN, another with parenteral nutrition(PN). Results The difference of nutritional status and incidence of posteroprative complications between EEN and PN group had no statistical significance, but the EEN group had earlier recovery of intestinal function and shorter hospital stay when compared with PN group. Conclusions EEN is an effective way of postoperative nutritional support in elderly patients of gastric cancer, which is safe, reliable, simple and clinically valuable.
Keywords:The elder  Early enteral nutrition  Gastric cancer  Total gastrectomy
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