食管癌术后早期肠内营养支持40例效果观察

Observation on the effect of early enteral nutrition in nursing care of 40 patients after surgery for esophageal cancer

目的:探讨食管癌患者术后早期肠内营养实施方法和效果。方法:将80例食管癌手术患者随机分为早期肠内营养(EN)组和肠外营养(PN)组各40例,术后分别给予早期肠内营养和肠外营养支持,比较两组术后并发症发生情况、肠鸣音恢复时间、排气、排便时间、住院天数及术前、术后7 d营养指标状况等。结果:EN组肺部炎症和静脉炎发生率均低于PN组、腹泻发生率高于PN组(P<0.05);EN组术后各项指标恢复时间均短于PN组,术后7 d营养指标状况优于PN组(P<0.05)。结论:食管癌术后早期行肠内营养安全有效,可以提高机体营养状态,降低感染等并发症的发生率,促进机体快速康复,缩短住院时间。

Objective：To explore the method of early enteral nutrition in patients with esophageal cancer after operation and investigate its effect. Methods：80 patients who underwent esophageal cancer surgery were randomly divided into the early enteral nutrition（EN） group and parenteral nutrition （PN） group （40 cases in each group ）. The patients in the two groups were respectively treated with EN and PN support after operation. The incidence of postoperative complications, resumption time of bowel sound, exsufflation and defecation time, length of hospital stay and the status of nutrition indexes in 7 days after operation were compared between the two groups. Results ： The incience of pulmonary inflammation and phlebitis was lower and the incidence of diarrhea was higher in the EN group than the PN group （ P 〈 0. 05 ） ; the resumption time of each index was shorter and the status of nutrition indexes in 7 days after operation was better in the EN group than the PN group （ P 〈 0.05 ）. Conclusion ： The effect of early enteral nutrition is safe and effective in nursing care of the patients af- ter esophageal cancer operation and the early enteral nutrition can improve the nutritional status of the patients,reduce the incidence of complications and shorten hospitalization days.