胃癌手术患者的肠内营养输注方案研究

Study on enteral nutrition infusion in patients with gastric cancer

目的 :探究适合用于胃癌手术患者的肠内营养输注方案。方法 :选取2014年3月~2016年3月于本院确诊为胃癌并接受手术治疗的86例患者为研究对象。按照随机数表法将全部患者分为观察组与对照组,其中,观察组患者43例,对照组患者43例。观察组患者行持续性肠内营养输注方案,对照组患者行周期性肠内营养输注方案,输注时间为1周。治疗结束后收集两组患者术后临床基本情况、机体免疫指标、营养指标相关情况进行比较分析。结果 :在临床状况方面,观察组患者43例患者全部耐受,对照组41例患者耐受;观察组患者达全肠内营养输注时间、脱管时长分别为3.4±1.3d、5.6±0.8d,对照组患者为4.7±1.1d、7.3±2.4d;观察组患者耐受例数明显多于对照组,差异明显,具有统计学意义。观察组患者达全肠内营养输注时间、脱管时长均明显短于对照组,差异明显,具有统计学意义。在机体营养方面,观察组患者术后7d时PA水平为311.3±26.8(mg/L),对照组患者为297.8±29.6(mg/L);观察组患者术后7d时PA水平明显高于对照组,差异明显,具有统计学意义。结论 :与周期性肠内营养输注方案相比,持续性肠内输注方案能够有效改善患者术后临床状况,增强患者机体营养的供给,更适合用于胃癌手术患者的肠内营养输注。

Objective To explore the method of enteral nutrition infusion for patients with gastric cancer.Methods From March2014 to March2016,86 patients with gastric cancer and underwent surgical treatment in our hospital were selected as study subjects. All patients were randomly divided into observation group and control group, the observation group of 43 pa-tients,43 cases of the control group. Patients in the observation group were treated with continuous enteral nutrition infusion, and the control group were treated with periodic enteral nutrition infusion. The infusion time was1 weeks. After the end of treat-ment, two groups of patients were collected and compared with the clinical situation, the immune index and nutritional index. Results In the clinical situation, the observation group43 patients were all patients tolerated, control group of41 patients with tolerance; patients in the observation group total enteral nutrition infusion time, tube length were3.4±1.3d,5.6±0.8d, the con-trol group was4.7±1.1d,7.3±2.4d; the patients in the observation group were high the number of cases significantly more than the control group, the difference was statistically significant. In the observation group, the time of total enteral nutrition infusion and the length of the off tube were significantly shorter than the control group, the difference was statistically significant. In nu-trition, the patients in the observation group after7d PA level was 311.3±26.8(mg/L), the control group was 297.8±29.6(mg/L); the patients in the observation group after the 7d level of PA was significantly higher than the control group, the difference was statistically significant.Conclusion Compared with the periodic enteral nutrition infusion regimen compared with continuous enteral infusion scheme can effectively improve the postoperative clinical status of patients, enhanced nutritional supply, more suitable for patients with gastric cancer undergoing operation enteral nutrition infusion.