高龄消化道肿瘤病人围手术期营养支持的意义

The significance of peri-operational nutritional support in the aged patients with gastrointestinal carcinoma

目的 :探讨营养支持对高龄消化道肿瘤病人手术治疗效果的影响。 方法 :将 117例高龄消化道肿瘤病人分为营养支持组 (NS)和常规治疗组 (NT) ,进行临床对比分析。 结果 :围手术期无死亡 ,NT组并发症发生率明显高于NS组。NT组胃肠功能恢复时间、平均住院天数较NS组明显延长。NS组手术后体重、血清蛋白回升较NT组明显提前 ,由负氮平衡向正氮平衡恢复所需时间较NT组明显缩短。 结论 :高龄消化道肿瘤病人围手术期营养支持的理想方法是肠外营养加肠内营养 ,有利于改善病人的营养状况 ,提高对手术创伤的耐受性 ,降低并发症的发生率。

Objectives:To observe the role of peri operational nutritional support in the old patients with gastrointestinal carcinoma. Methods: One hundred and seventeen cases of aged patients with gastrointestinal carcinoma were divided into two groups: nutritional support (NS) group and normal therapy(NT) group. The therapeutic effects of peri operational nutritional support were studied. Results: All patients survived. The rate of complication in group of NT was higher than that of NS group. The recovering time of the gut function after operation and average duration in the hospital of the NT group were longer than that in the NS group. The recovery of body weight, level of plasma albumen and nitrogen balance in NS group was faster than that of NT group. Conclusions:Peri operational nutritional support in the aged patients with gastroenterological carcinoma is of significance, improving the nutritional condition,enhancing the endurance from the surgical trauma and decreasing the rate of postoperative complication.