胃癌根治术后早期联合肠内营养的应用

The application of early enteral nutrition support after gastric cancer operation

目的:比较肠内营养(EN)支持和肠外营养(PN)支持对胃癌根治术后患者早期临床恢复的影响。方法:将40例胃癌患者随机分为PN组和EN组各20例。PN采用全PN;EN组术后第2天即采用EN,并逐渐过渡至全EN支持。比较2组患者的早期临床恢复效果。结果:EN组术后肛门排气时间早于PN组(P<0.01);EN组术后并发症发生率低于PN组(P<0.05)。结论:胃癌根治术后患者早期联合EN支持治疗,可改善患者营养状况,促进肠蠕动恢复,并且降低并发症的发生,临床效果较好,是胃癌根治术后理想的营养支持方式。

Objective： To compare the effects of enteral nutrition（ EN） support with parenteral nutrition（ PN） support on the early clinical recovery of patients after gastric cancer radical surgery. Methods： Forty patients with gastric cancer were randomly divided into the PN group and EN group. The PN group was treated with total PN support and EN support at 2 days after operation,and the EN group then gradual converting for total EN support,respectively. The early clinical recovery effects between two groups were compared.Results： The postoperative anal exhaust time and average hospital stay in EN group were shorter than those in PN group（ P〈0. 01）.The incidence of postoperative complications in EN group was lower than that in PN group（ P〈0. 05）. Conclusions： The early treatment of postoperative gastric cancer with enteral nutrition support can improve the nutritive condition,promote intestinal peristalsis recovery and reduce complications of patients,which is an ideal way of nutritional support after gastric cancer radical surgery.