肠内营养或肠外营养对结直肠癌患者术后脏器功能和排气时间的影响

Impact of enteral nutrition or parenteral nutrition in post-operative colorectal cancer patients on viscera organ functions and "passing wind" time

目的 探讨早期肠内营养或肠外营养在结直肠癌术后应用对患者脏器功能和排气时间的影响.方法 将30例患者随机分为肠内营养支持组和肠外营养支持组,两组均给予等热量等氨基酸的营养支持至术后第7天.检测术前、术后脏器功能指标,观察胃肠功能恢复时间及并发症发生率.结果 肠内营养组术后平均住院时间、总胆红素较肠外营养组显著减少(P＜0.01,P＜0.05).并发症两组比较差异无显著性.结论 结直肠癌术后期实施肠内营养是安全可行的,有助于促进患者胃肠功能康复,减少手术后住院时间,减少费用.

Objective To study the impact of enteral nutrition (EN) or parenteral nutrition (PN) in postoperative colorectal cancer patients on viscera organ function and "passing wind" time.Methods Totally 30 patients with colorectal cancer joined this study with informed consent.Patients were randomly divided into EN group and PN group.Both two groups were given nutritional support from the first post-operative day to the 7th post-operative day.The pre-operative and post-operative viscera organ functions and the recovery time of gastrointestinal functions are observed.Results Total bilirubin was significantly lower in EN group than in PN group (P ＜ 0.05).The length of post-operative hospital stay was significantly shorter in EN group than in PN group (P ＜0.01).The post-operative complications were not significantly different between two groups (P ＞ 0.05).Conclusion Postoperative EN support is beneficial for colorectal cancer patient in terms of lower bilirubin levels,shorter post-operative hospital stay,and lower cost.