食管癌术后早期肠内营养的临床应用

目的探讨早期肠内营养应用于食管癌术后的可行性、安全性和实用价值。方法对124例食管癌患者依据术后营养支持方法的不同分为两组,肠内营养组:64例,食管癌术后施行早期肠内营养;静脉营养组:60例,食管癌术后给予全静脉营养支持。比较两组患者术后并发症发生情况、恢复情况,检测手术后生化指标。结果术后并发症发生率肠内营养组明显低于静脉营养组(P<0.05),术后肠鸣音恢复时间,肛门排气、排便时间肠内营养组较静脉营养组短(P<0.01),血浆前白蛋白(PA)、转铁蛋白(TF)肠内营养组高于静脉营养组(P<0.01)。结论食管癌患者术后早期肠内营养是安全、有效、可行的,较静脉营养有明显的优势。

Clinical application of early postoperative enteral nutrition in patients with esophageal cancer

Objective To evaluate the practicality,safety and value of early postoperative enteral nutrition in esophageal cancer patients.Methods By different ways of nutritional support after operation,124 cases of esophageal cancer were divided into two groups,namely,enteral nutrition(EN) group,64 cases,which were managed with early use of nutritional support through intestine,and parenteral nutrition(PN) group,60 cases,which were given nutrition by way of veins.Complications,general recovery and blood biochemical criteria after operation between those two groups were compared.Results The incidence of complications in EN group was significantly lower than that in PN group(P<0.05).The time needed for recovery of bowel sounds,anal exsufflation,defecation was shorter in EN group than those in PN group(P<0.01).Serum prealbumin and transferrin levels in EN group were significant higher than those in PN group(P<0.01).Conclusion Early use of enteral nutrition after operation on esophageal cancer is safe,effective and practical,with more significant advantages than those of parenteral nutrition.