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双歧杆菌强化的肠内营养支持在胃癌术后早期的应用
引用本文:姬社青,花亚伟,徐勇超,张鉴哲.双歧杆菌强化的肠内营养支持在胃癌术后早期的应用[J].肠外与肠内营养,2005,12(2):81-83.
作者姓名:姬社青  花亚伟  徐勇超  张鉴哲
作者单位:河南省肿瘤医院普通外科,河南郑州,450008;河南省肿瘤医院普通外科,河南郑州,450008;河南省肿瘤医院普通外科,河南郑州,450008;河南省肿瘤医院普通外科,河南郑州,450008
摘    要:目的:研究双歧杆菌强化的肠内营养在胃癌术后的早期应用. 方法:选择60例进展期胃癌病人,随机分为两组,即强化肠内营养组和对照组,每组各30例.强化肠内营养组于手术后第1天开始应用能全力加双歧杆菌活菌制剂,共7天;对照组单用能全力.两组病人分别于手术前1天和手术后第7天测定粪便中分泌型IgA,并比较两组感染并发症的发生率. 结果:术后第7天,强化肠内营养组粪便中分泌型IgA量较对照组明显升高,感染等并发症下降,差异有显著意义性意义(P <0.05) . 结论:胃癌术后早期应用双歧杆菌强化的肠内营养可改善肠黏膜屏障功能,减少感染性并发症的发生率.

关 键 词:肠内营养  双歧杆菌  分泌型免疫球蛋白A  胃癌
文章编号:1007-810X(2005)02-0081-03
修稿时间:2004年6月10日

The use of bifidobacterium-supplemented enternal nutrient in early postoperative patients with advanced gastric cancer
JI She-qing,HUA Ya-wei,XU Yong-chao,ZHANG Jian-zhe.The use of bifidobacterium-supplemented enternal nutrient in early postoperative patients with advanced gastric cancer[J].Parenteral & Enteral Nutrition,2005,12(2):81-83.
Authors:JI She-qing  HUA Ya-wei  XU Yong-chao  ZHANG Jian-zhe
Abstract:Objective: To study the effect of bifidobacterium-supplemented enteral nutrition in early postoperative patients with gastric cancer. Methods: 60 patients with gastric cancer were divided into two groups: bifidobacterium-supplemented enteral nutrition(BSEN-group, 30 cases), popular enteral nutrition group(EN-group,30 cases). The patients were infused with Nutrison Fibre or bifidobacterium-supplemented Nutrison Fibre for 7 postoperative days. Results: Bifidobacterium-supplemented enteral nutrient was well tolerated. The incidence of infections was significantly lower (P = 0.01) in BSEN-group than in EN-group. Conclusion: Early postoperative enteral nutrition plus bifidobacterium can reduce the rate of postoperative infections in comparison with popular enteral nutrition.
Keywords:Enteral nutrition  Bifidobacterium  S-IgA  Gastric cancer
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