30例胃癌术后早期肠内营养临床观察

Clinical study of early enteral nutrition after the 30 cases gastrectomy of gastric carcinoma

目的研究胃癌术后早期肠内营养支持的临床经验、临床效果及安全性。方法术中放置鼻肠营养管,术后24 h开始灌注营养液,观测营养支持期间有无返流、腹痛、腹胀、腹泻、恶心、呕吐等并发症。结果患者均能耐受早期肠内营养,个别患者出现腹胀,经对症治疗后可缓解。结论胃癌术后早期应用肠内营养可以明显改善患者营养状态,安全可行,与肠外营养相比可明显降低医疗费用。

Aim To study the feasibility,safety and clinical outcome of early use of enteral nutrition in postoperative patients with gastric carcinoma. Methods Enteral nutririon was started 24 hours after opration via naso - jejunum tube placed during opration. Results All patients tolerated early enteral nutrition. Just a few patients experienced abdominal distension and diarrhea, but recovered after medication. Conclusion Early use of enteral nutrition after operation was safe and it decreased medical cost compared with parenteral nutrition.