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老年胃癌术后早期肠内与肠外营养的应用比较
引用本文:蒋志阳,陶国清,陆培华.老年胃癌术后早期肠内与肠外营养的应用比较[J].中国现代手术学杂志,2008,12(5):346-347.
作者姓名:蒋志阳  陶国清  陆培华
作者单位:江苏省无锡市人民医院胃肠外科,无锡,214023
摘    要:目的探讨老年胃癌患者术后早期营养支持方式及疗效。方法78例老年胃癌患者随机分为两组,肠内营养(enteral nutrition,EN)组40例与肠外营养(parenteral nutrition,PN)组38例。EN组均采取术中放置十二指肠营养管,术后第2 d开始行肠内营养。PN组术后第1 d开始行中心静脉营养支持。结果两组患者在术后并发症方面无明显差异,但EN组术后住院日、住院总费用、营养相关费用等卫生经济学指标明显优于PN组(P〈0.05)。结论老年胃癌患者术后早期营养支持有利于机体恢复,与PN组相比,EN具有方便、安全等优点,且性价比高,值得推广应用。

关 键 词:胃肿瘤  胃肠内营养  胃肠外营养  手术后并发症

Comparison of Postoperative Enteral Nutrition and Parenteral Alimentation for Gastric Carcinoma in the Elderly
JIANG Zhi-yang,TAO Guo-qing,LU Pei-hua.Comparison of Postoperative Enteral Nutrition and Parenteral Alimentation for Gastric Carcinoma in the Elderly[J].Chinese Journal of Modern Operative Surgery,2008,12(5):346-347.
Authors:JIANG Zhi-yang  TAO Guo-qing  LU Pei-hua
Institution:JIANG Zhi-yang,TAO Guo-qing,LU Pei-hua(Department of Gastro-enteric Surgery,People\'s Hospital of Wuxi,Wuxi 214023,Jiangsu,China)
Abstract:Objective To discuss the styles and efficacies of postoperative early nutrition for gastric carcinoma in elderly.Methods 78 geratic cases of gastric carcinoma were randomized into 2 groups,including 40 of enteral nutrition(EN) group,and 38 of parenteral nutrition(PN)group.In the EN group,the nutrient canal was put into the duodenum intraoperatively and the EN started from the second day after operation.In the PN group,the central vein nutrition was used from the first day after operation.Results There was n...
Keywords:stomach neoplasms  enteral nutrition  parenteral nutrition  postoperative complications  
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