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肿瘤专用型肠内营养液在结直肠癌术前准备中的应用
引用本文:卜延志,徐月华,戴旭东,张锡山.肿瘤专用型肠内营养液在结直肠癌术前准备中的应用[J].肠外与肠内营养,2008,15(1):33-35.
作者姓名:卜延志  徐月华  戴旭东  张锡山
作者单位:涟水县人民医院普通外科,江苏涟水,223400
摘    要:目的:探讨肿瘤专用型肠内营养(EN)制剂(瑞能)在结直肠癌术前准备中的应用效果.方法:将我科收治的中、重度营养不良的结直肠癌病人56例分为两组,每组28例.试验组使用肿瘤专用型EN制剂瑞能,对照组使用能全力,两组病人均治疗7d后行手术治疗.于营养治疗前(术前8d)及治疗后7d(术前1d)检测反映病人营养状况、免疫功能和促炎细胞因子的指标以及肠道清洁情况.结果:两组病人术前8d各项指标均无显著性差异,术前1d试验组病人的血清清蛋白、前清蛋白、IgG、CD4+和CD4+/CD8+均显著高于对照组,白细胞介素素-6(IL6)、肿瘤坏死因子α-(TNF-α)和前列腺素E2(PGE2)均显著低于对照组.结论:中、重度营养不良的结直肠癌病人术前采用肿瘤专用型EN支持,可改善病人的营养状况,增强机体免疫功能,减轻炎性反应.

关 键 词:肿瘤专用型肠内营养液  结直肠癌  术前准备  营养状况  免疫功能
文章编号:1007-810X(2008)01-0033-03
修稿时间:2007年5月13日

Application of immune-enhanced enteral nutrition in preoperative preparation for patients with colorectal carcinoma
BO Yan-zhi,XU Yue-hua,DAI Xu-dong,ZHANG Xi-shan.Application of immune-enhanced enteral nutrition in preoperative preparation for patients with colorectal carcinoma[J].Parenteral & Enteral Nutrition,2008,15(1):33-35.
Authors:BO Yan-zhi  XU Yue-hua  DAI Xu-dong  ZHANG Xi-shan
Institution:BO Yan-zhi,XU Yue-hua,DAI Xu-dong,ZHANG Xi-shan(Department of Surgery,People Hospital of Lianshui,Lianshui 223400,Jiangsu,China)
Abstract:Objective:The aim of this study was to explore the applicative effects of immune-enhanced enteral nutrition(Supportan) in preoperative preparation for patients with colorectal carcinoma.Methods:56 colorectal carcinoma patients with mid-severe malnutrition were randomly divided into two groups,experiment group and control group,each of 23.Experiment group was administrated with immune-enhanced enteral nutrition(Supportan).Control group was administrated with common enteral nutrition(Nutrison Fibre).Nutrition...
Keywords:Immune-enhanced enteral nutrition  Colorectal carcinoma  Preoperative preparation  Nutritional status  Immunological function  
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