胃癌术后早期肠内营养支持治疗的临床研究

目的 研究胃癌术后早期实施肠内营养支持的安全性、可行性及临床效果.方法 68例胃癌术后患者经术中放置的鼻空肠管应用肠内营养剂进行早期肠内营养,术前、术后7天测定血浆总蛋白、白蛋白、前白蛋白、转铁蛋白、肝肾功能、血糖、电解质、淋巴细胞计数.临床观察营养支持期间有无腹胀、腹痛、腹泻、恶心、呕吐等.结果 胃癌术后7天体重、前...

Clinical study on early enteral nutrition after the gastrectomy of gastric carcinoma

Objective To study the safety , feasibility and clinical effects of early enteral nutrition in postoperative patients with gastric cancer. Methods Enteral nutririon started 24 hours after operation via naso-jejunum tube placed during operation. Weight, serum total protein, albumin, pre-albumin, transferrin , hepatic and renalfunction , blood glucose, electrolytes and lymphocyte count were tested preoperatively and at postoperative day 7.Results Weight, pre-albumin,transferrin at postoperative day 7 was obviously higher than those before operation (P ＜0.05). Lymphocyte count also increased significantly (P＜0.05). Just a few patients experienced abdominal distension and diarrhea, but recovered after medication. Conclusion Early enteral nutrition through jejunostic tube is safe and effective after gastric operation. It is beneficial to improve the patients' nutrition status.