摘要
目的探讨胃癌根治术中隧道式空肠置管术后早期肠内营养支持的可行性、安全性和临床效果。方法将42例胃癌患者随机分为肠内营养组(EN组,24例)和肠外营养组(PN组,18例)。EN组采用隧道式空肠置管,术后早期进行肠内营养,并分别在营养支持前后各测1次体重、肝肾功能、血清蛋白、血红蛋白,临床观察胃肠道恢复情况。结果EN组血清蛋白、转铁蛋白水平在营养支持后明显升高,肛门恢复排气排便时间与PN组比较,差异有统计学意义(P<0.01)。结论胃癌术后早期肠内营养支持安全、可行,在改善机体营养状态方面有显著作用,并可促进胃肠道功能恢复,且费用较低。术中隧道式空肠置管简便易行,便于推广。
Objective To explore the feasibility, safety and clinical effect of early enteral nutritional support after jejunum stent placement through a tunnel in definitive operation for gastric cancer. Methods Divided randomly 42 cases of gastric cancer patients into enteral nutritional group（ EN group, n = 24）and parenteral nutrition group （PN group, n = 18 ）, EN group was used jejunum stent placement through a tunnel, early enteral nulrition postoperation, and measured weight, liver function, kidney function, albumin protein, hemoglobin before and after nutrition support, and observe recovery of gastrointestinal. Results The level of albumin protein and transferfin of EN group rise apparently （P 〈 0.01 ）, and the time of evacuating and defecation was shorten than that in PN group. Conclusions Early enteral nutritional support on postoperation of gastric cancer is safety and feasible, have apparent effect on improving the nutrition condition, and can promote the recovery of the function of gastrointestinal, and have low expense. Jejunum stent placement through a tunnel is easy to carry out, and easy to spread.
出处
《中国医师进修杂志》
2006年第6期12-14,共3页
Chinese Journal of Postgraduates of Medicine
关键词
胃癌
空肠置管
早期肠内营养
手术
Gastric cancer
Jejunum stent placement
Early enteral nutrition
Operation
