食管癌术后营养支持探讨

目的:探讨食管癌术后患者营养支持问题。方法:收治食管癌术后患者30例,对营养治疗所采用的方式、时间、并发症、治疗前后白蛋白,血红蛋白指标进行统计和比较。结果:30例患者均有使用肠外营养,平均7.07±4.24天;19例使用肠内营养,平均8.16±5.45天。术后营养支持平均10.27±5.63天。28例好转出院,9例出现并发症,包括多脏器功能衰竭,吻合口瘘,乳糜胸等。治疗前血白蛋白平均32.76±5.41g/L,治疗后35.83±3.73g/L;治疗前血红蛋白平均125.43±15.54g/L,治疗后112.93±14.90g/L。两者P<0.05,有统计学显著性差异。结论:食管癌术后营养支持对于帮助患者渡过禁食期,促进切口愈合等有积极的作用,应进一步完善和规范患者的营养治疗及对治疗效果的评价。

Objective：To investigate the postoperative treatment of patients with nutritional problems.Methods：Zhongshan City People＇s Hospital of nutrition in the treatment of esophageal cancer in 2010 after 30 patients on nutritional therapy used in the manner,time,complications,treatment before and after albumin,hemoglobin,indicators,statistics and more.Results：30 patients had used parenteral nutrition,the average 7.07±4.24 days;19 cases of use of enteral nutrition,the average 8.16±5.45 days.Postoperative nutritional support average 10.27±5.63 days.28 cases improved and discharged,nine patients had complications,including multiple organ failure,fistula,chylothorax and so on.The average pre-treatment serum albumin 32.76±5.41g/L,after treatment 35.83±3.73g/L;mean hemoglobin before treatment 125.43±15.54g/L,after treatment 112.93±14.90g/L.Both P0.05,statistically significant difference.Conclusion：The postoperative nutritional support in helping patients through the fasting period,to promote wound healing have a positive effect,should further improve and standardize the patient＇s nutritional therapy and for treatment evaluation.