食管癌病人术后早期肠内营养的临床有效性研究

Application of early enteral nutrition for patients with carcinoma of esophagus after operation

目的:探讨早期肠内营养(EEN)在食管癌病人术后的实施方法与临床效果。方法:对120例食管癌病人在术中经鼻留置营养管,术后经鼻肠管给予EN治疗。结果:所有食管癌病人术中均顺利留置鼻十二指肠营养管。行EEN的病人吻合口瘘、肺部感染、切口感染、术后胃排空障碍等并发症的发生率较传统常规补液的病人明显减少。术后肠鸣音恢复时间、肛门排气和排便时间明显缩短。结论:食管癌病人术后应用EEN,能促进胃肠功能恢复,改善病人营养状况,减少并发症的发生率,提高手术成功率,是病人术后简便、安全、有效的营养补给方法。

Objective： To review the clinical effect of early enteral nutrition in patients with carcinoma of esophagus after operation.Methods： Nutrient canal was indwelt through Fresubin（TP） was given through the nasal-intestinal tube in 120 cases with carcinoma of esophagus after operation.Results： The complications such as anastomotic leakage,lung infection and incisional infection in the patients receiving early enteral nutrition were much less than those in control group.No death occurred.The time for bowel function recovery was much shorter.Conclusion： Early enteral nutrition can promote the recovery of gastrointestinal function,improve the nutrition,decrease the occurrence of complications and raise the successful rate of operation in operative patients with esophagus carcinoma.