| 老年胃癌合并糖尿病患者术后早期肠内与肠外营养对比研究 |
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| 引用本文： | 朱森雄,谢嵘. 老年胃癌合并糖尿病患者术后早期肠内与肠外营养对比研究[J]. 安徽医药, 2010, 14(12): 1443-1445. DOI: 10.3969/j.issn.1009-6469.2010.12.033 |
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| 作者姓名： | 朱森雄 谢嵘 |
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| 作者单位： | 江苏省丹阳市导墅社区卫生服务中心外科,江苏,丹阳,212361;江苏大学附属医院普外科,江苏,镇江,212001 |
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| 摘 要： | 目的探讨老年胃癌合并糖尿病患者术后早期肠内营养的合理性和安全性。方法将60例老年胃癌合并糖尿病患者随机分为早期肠内营养组（EEN,30例）和肠外营养组（PN,30例）。检测手术前和手术后第四天、第十天营养指标和肝功能等变化,详细记录血糖变化,观察临床恢复情况。结果术后肠内营养组血糖水平波动较肠外营养组平稳（P〈0.01）。术后第四天EEN组患者的各项营养指标和肝功能指标恢复明显高于PN组患者（P〈0.01）。并发症发生率EEN组少于PN组,差异有显著性（P〈0.01）。结论胃肠肿瘤手术后早期应用肠内营养对老年糖尿病患者是一个较好的方法,方便血糖调控,同时可促进机体康复,减少并发症。
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| 关 键 词： | 糖尿病 胃癌 肠内营养 肠外营养 |
Comparative study of postoperative early enteral nutrition and parenteral nutrition in elderly patients with type-2 diabetes undergoing gastrectomy for gastric carcinoma |
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| ZHU Sen-xiong,XIE Rong. Comparative study of postoperative early enteral nutrition and parenteral nutrition in elderly patients with type-2 diabetes undergoing gastrectomy for gastric carcinoma[J]. Anhui Medical and Pharmaceutical Journal, 2010, 14(12): 1443-1445. DOI: 10.3969/j.issn.1009-6469.2010.12.033 |
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| Authors: | ZHU Sen-xiong XIE Rong |
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| Affiliation: | ZHU Sen-xiong1,XIE Rong2(1.Department of General Surgery,Community Health Center of Daoshu,Danyang,Jiangsu 212361,2.Department of General Surgery,The Affiliated Hospital of Jiangsu University,Zhenjiang,Jiangsu 212001) |
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| Abstract: | Aim To evaluate the reasonability and safety of early enteral nutrition in elderly patients with type-2 diabetes undergoing gastrectomy for gastric carcinoma.Methods 60 elderly patients with diabetes undergoing gastrectomy were randomly divided into early enteral nutrition group(EEN group,n=30) and parenteral nutrition group(PN group,n=30),and given enteral nutrition and parenteral nutrition respectively.Several blood chemistries and nutritional status were compared between the two groups on the preoperativ... |
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| Keywords: | diabetes mellitus gastric carcinoma enteral nutrition parenteral nutrition |
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