食管癌患者术后早期肠内营养的疗效观察

目的:分析食管癌患者手术后早期肠内营养的疗效。方法:将患者随机分为肠内营养(EN)组和肠外营养(PN)组,测定手术前、手术后第1d、手术后第8d的ALB、TFN、PreALB、LC计数、补体c3和c4并观察手术后并发症。结果:手术后第8d两组比较,EN组ALB、TFN、PreALB、LC计数、补体c3和c4均有所提高(P<0.05)。EN组肺部感染、吻合口漏发生率分别为5.56%、3.33%,PN组为9.47%及6.31%,(P<0.05)有统计学意义。结论:食管癌患者手术后早期肠内营养能改善病人术后的营养状况、增强免疫力、减少并发症的发生率。

Objective：To analyze the of effect the early enteral nutrition after esophageal cancer.Methods：The patients were randomly divided into enteral nutrition （EN） group and parenteral nutrition （PN） group,before and after 1 day,8 days after operation,serum albumin,prealbumin,transferrin,in peripheral blood lymphocytes,complement c3 and c4 were measured and observed complications.Results：After 8 days between the 2 groups,EN group ALB,TFN,PreALB,LC count,complement c3 and c4 were improved （P0.05）.EN group pulmonary infection,anastomotic leakage rate was 5.56%,3.33%,PN group was 9.47% and 6.31%,（P0.05） were statistically significant.Conclusion：The early enteral nutrition after esophageal cancer can improve the nutritional status of postoperative patients,enhance immunity,reduce the incidence of complications.