早期肠内营养在胃肠道肿瘤术后患者中的应用

目的：探讨早期肠内营养支持在胃肠道恶性肿瘤术后患者中应用的临床效果。方法：54例胃肠道恶性肿瘤行根治手术的患者,随机分为对照组和研究组,分别接受肠外营养支持（PN）和肠内营养支持（EN）。比较两组治疗前后的血清白蛋白、前白蛋白和转铁蛋白水平,肝肾功能指标,胃肠功能恢复时间以及并发症的发生率。结果：经过术后7d的营养支持治疗,EN组术后血清前白蛋白、转铁蛋白水平升高程度明显大于PN组,胃肠功能较PN组更快恢复。在术后并发症的发生率和肝肾功能指标方面两组没有显著性差异。结论：早期肠内营养支持能够安全有效地促进胃肠道肿瘤术后患者的恢复。

Effect of Early Enteral Nutrition Support on Patients After Gastrointestinal Surgery

Objective：To investigate the clinical effect of early enteral nutrition （EN） support on postoperative patients with gastrointestinal malignancy.Methods：A total of 54 postoperative patients with gastrointestinal malignancy were randomly divided into EN group and parenteral （PN） group.Both groups received isocaloric and isonitrogen nutrition support.The serum albumin,transferrin,prealbumin and liver and renal function were measured using standard techniques.The gastrointestinal function and postoperative complications were evaluated.Results：After nutrition support,serum albumin was not significantly different between two groups.Compared with PN group,serum transferrin and prealbumin level significantly increased in EN group （P〈0.05）.The gastrointestinal function in EN group resumed earlier than that in PN group.There was also no difference in liver and renal function and postoperative complications between two groups.Conclusion：The application of early enteral nutrition support is beneficial to the recovery of the gastrointestinal cancer patients after surgery.