贲门癌术后肠道内和肠道外营养支持的观察

STUDY ON PARENTERAL AND ENTERAL NUTRITIONAL SUPPORTS IN POSTOPERATIVE CARDIAC CANCER PATIENTS

目的 观察不同途径的营养支持对经腹贲门癌术后病人的疗效。方法 1 1 5例贲门癌患者分成肠外营养 (PN组 ) ,肠内营养 (EN组 )以及对照三组。 PN组 :给以全肠外静脉高营养液 (TPN) ,每日用量 :2 0 %的脂肪乳剂 2 50 ml、复方氨基酸溶液 1 0 0 0 ml,2 0 %的葡萄糖溶液 1 0 0 0ml,术后由周围静脉连续输注 8～ 9d;EN组 :术前放置营养管在胃内 ,术后常规补液 ,肠蠕动恢复后 ,由营养管注入要素膳 ,每日 30 0 g。对照组 ,术后给以常规补液 (1 0 %葡萄糖溶液 2 50 0 ml/d,5%葡萄糖盐水 1 0 0 0 ml/d) ,由周围静脉连续静点 8～ 9d。比较指标 :对体重、氮平衡、血浆白蛋白、血常规进行了测定 ,并对术后并发症的发生情况进行比较。结果 本研究组病人无手术死亡和吻合口瘘发生 ,测定指标比较 ,PN组和 EN组明显优于对照组。结论 经腹贲门癌手术后的患者、肠内或肠外营养支持是必要的。

Objective: The effects of nutritional support by different routes were observed in patients with cardiac cancer. [WT5FZ]Methods: One hundred and fifteen patients were divided into three groups; parenteral nutrition (PN) group (n=49), enteral nutrition (EN) group, (n=48), control group, (n=18). PN group was provided with 20% intralipid for energy and amino acid solution for nitrogen, EN group was provided with essential food for energy and nitrogen. Control group was supplied with glucose solution for energy. Body weight, nitrogen balance, albumin, blood routine examination were observed. [WT5FZ]Results: Patients in enteral and parenteral groups did not present anastomotic leakage. Both PN and EN group appeared better than control group. [WT5FZ]Conclusion: Enteral and parenteral nutrional supports are essential for postoperative cardiac cancer patients.