三腔喂养管在胃癌术后病人早期肠内营养的应用

Application of three lumen gastrojejunal tube in early enteral nutrition of postoperative patients with gastric carcinoma

目的:观察胃癌术后病人应用三腔喂养管早期肠内营养(EEN)的可行性和安全性。方法:将90例胃癌病人分为观察组和对照组。对照组(n=30)术后应用全肠外营养(TPN),观察组(n=60)术后早期应用EN,观察病人术后血清清蛋白(ALB)、免疫球蛋白A(IgA)水平和病人肠鸣音恢复时间、术后肛门排气时间、并发症的发生率等变化。结果:观察组病人术后ALB、IgA明显高于对照组;术后肠蠕动恢复和肛门排气时间均早于对照组,并发症的发生率无显著性差异。结论:术后应用三腔喂养管行EEN有助于改善胃癌病人的营养状况和胃肠道免疫功能。

Objective： To discuss the feasibility and security of early enteral nutrition of postoperative patients with gastric carcinoma.Methods： Collect 90 patients with gastric carcinoma were divided into observation group（EEN）and control group（TPN）.Total parenteral nutrition was performed in the control group（30 patients）,and early enteral nutrition in the observation group（60 patients）.Postoperative serum albumin and immunoglobulin A（IgA） were observed.The incidence of complication was observed.Results： The serum albumin and immunoglobulin A（IgA） of the observation group were obviously higher than the control group.The incidence of complication had no obvious statistical difference.Conclusion： The postoperative early enteral nutrition helps to improve the nutrition and the gastrointestinal immune function.