大肠癌患者术后营养支持方法的临床探讨

Clinical Trial of Overall Postoperative Trophotherapy for Patients with Colorectal Carcinoma

为探讨大肠癌患者水后联合营养治疗的作用，我们将442例大肠癌患者随机分为两组，一组手术后行周围静脉营养联合肠内营养治疗（治疗组，212例）．另一组手术后单纯行周围静脉营养治疗（对照组，230例）。结果显示，治疗组患者术后切口、肺部感染及吻合口漏的发生率均低于对照组（P〈0．05），平均住院时间及住院费用均少于对照组（P〈O．01）。结果表明．加强大肠癌患者术后肠内外联合营养治疗．能有效减少术后并发症的发生，缩短住院时间。

The objective of the study was to evaluate the therapeutical efficacy of postoperative tropho- therapy for patients with colorectal carcinoma. Four hundreds and forty two patients who underwent coloreclal operations were randomized into two groups. The patients in the study group（ n=212） received nu- trients via peripheral venous and alimentary canal routes（enteral nutrition）, while patients in the control group（n= 230） received nutrients via peripheral venous route only. As results, the incidence rates of wound infection, pulmonary infection and the incidence rate of anastomotic leakage in the study group were notably lower than that in the control group（ P 〈0.05）,the average hospital stay and hospitalization cost in the study group were lower than that in the control group（ P 〈0. 01）. It is concluded that adequate postoperative trophotherapy for patients with colorectal carcinoma can reduce the incidence of postoperative complications and hospital, stay.