胃癌术后早期肠内营养的临床应用

Application of early enteral nutrition in post-operative patients with gastric cancer

目的探讨对胃癌患者术后早期肠内营养支持的方法、效果、费用及应用中注意事项。方法通过对122例胃癌患者随机分组为早期肠内营养组(EN:n=61)和肠外营养组(PN:n=61)临床资料进行分析。结果 EN组术后在排气(46.98±6.87比73.51±11.53)、排便时间(83.89±12.78比130.80±22.93)、费用(9548.17±1754.86比14721.11±2965.59)及术后平均住院时间(9.79±0.76比12.48±1.46)、身体营养状况等方面均短于PN组,差异有统计学意义(P<0.05)。结论早期肠内营养能提高机体营养状况、缩短住院时间、减少住院费用,可作为最佳选择。

Objective To investigate the feasibility,safety,fees and clinical effects of early enteral nutrition following gastric cancer operation.Methods 122 patients performed gastric cancer operation were randomly divided into early enteral nutrition group（cases） and parenteral nutrition group（cases）.Results The time of flatus（46.98±6.87,73.51±11.53）,bowel movement（83.89±12.78,130.80±22.93）,and of hospital stay after operation in the EN group was significantly shorter than the PN group（9.79±0.76,12.48±1.46）.In the first seven days after surgery,various parameter recovery rates in group EN were better than those in group PN.Also lower hospital costs in EN group（9548.17±1754.86,14721.11±2965.59）.Conclusion Early enteral nutrition can modulate nutrition states,decrease the expense of nutritional support as well as the length of stay,in this EN is the best choice.