食管癌患者术后肠内营养临床效果分析

目的观察肠内营养(EN)与肠外营养(PN)对食管癌患者术后临床效果的影响,评价食管癌术后早期肠内营养支持的临床意义。方法肠外营养组(PN组)术后每日行完全肠外营养支持直到经口进食;肠内营养组(EN组)术后第1日以静脉支持为主,第2日开始经鼻肠营养管滴入肠内营养制剂瑞素,并逐步增大剂量,减少静脉支持。在术后各个不同时间点分别进行各项指标及营养免疫功能指标的测定。结果 EN组术后排气、排便时间和术后平均住院时间均短于PN组。术后EN组营养和免疫功能指标均优于PN组。结论食管癌术后早期肠内营养可促进小肠运动功能恢复,可有效改善食管癌患者术后营养状况和免疫功能。

Clinical effect analysis of external nutrition support after esophageal carcinoma excision

Objective To investigate the influence of external and parenteral nutrition support on patients after esophageal carcinoma excision and to estimate the clinical significance of enteral nutrition in postoperative earlier period. Methods The patients of parenteral nu- trition group （PN group） received completely parenteral nutrition support. Patients of external nutrition group （EN group） received intrave- nous support at the first day after operation, and then they were given enteral nutrition preparation Fresubin through nasal intestines nutrition tube from the second day after operation. And the nutritional targets and immunological function were examined at different point in time. Re- suits Time of postoperative exhaust, defecation and hospital stay in EN group were all shorter than those of the PN group. Index of nutritional and immune function in EN group was better than the PN group. Conclusion The external nutrition support after esophageal carcinoma exci- sion can improve the intestinal motility function, nutritional status and immunological function.