食管癌患者术后早期肠内营养

Early Postoperative Enteral Nutrition in Patients with Esophageal Cancer

目的探讨早期肠内营养对食管癌患者术后营养状况改善情况及可行性、安全性。方法选择行食管癌切除,胃代食管胸内吻合术后的患者20例,术后行早期肠内营养。结果20例患者术后行早期肠内营养支持,均未发生吻合口瘘,未出现呕吐、腹泻、腹痛等较重的消化道功能紊乱情况。伤口愈合良好。术后第14天,总淋巴细胞数、血红蛋白、血清白蛋白水平与术前相比有显著统计学意义。结论食管癌患者术后实施早期肠内营养安全、可行、有效,是值得推广的营养支持方式。

Objective： To evaluate the improvements of nutritional status, practicality and safety of early use of enteral nutrition after operations on esophageal cancer patients. Method： Chose 20 cases after esophageatomy, intrathorax - anastomosis of gastrol interposition for esophageal replacement, were managed with early use of enteral nutrition. Result： No cases of anastomotic fistula and heavier alimentary canal function disorder, such vomit, diarrhea, bellyache occurred in 20 patients. Wound healed well. At 14th postoperative, total lymphocyte count, hemalbumen, serum albumin are obviously statistical signification compare with before. Conclusion： Early use of enteral nutrition after operation on esophageal cancer is safe, effective, and practical. It is a manner of nutritional support of deserving pepularization.