摘要
本研究将 60例食管癌、贲门癌术后病人随机分为对照、EN、PN三组进行观察。经过两种途径的营养支持 ,病人的肱三头肌皱褶、前臂中点周径、体重和转铁蛋白各项营养代谢指标 ,于第 14天时两试验组与对照组比较差异均显著。术后对照组病人持续负氮平衡 ,两试验组的营养支持均使氮平衡状况逐渐改善 ,经过比较差异显著。结果说明 ,术后早期应用营养支持 ,不管是 EN或 PN均能改善病人的代谢状态 ,防止术后病人的蛋白质 -热能营养不良状态严重恶化。同时还按既定的分组继续观察了部分术后附加化疗病人的营养支持效果。结果显示 ,附加化疗后对照组病人的蛋白质 -热能营养不良状况进一步加重 ;两种营养支持均能改善化疗对病人营养状态的影响。EN组和 PN组比较显示 ,EN对化疗病人的营养支持效果不如 PN,二者在转铁蛋白、氮平衡方面差异显著。说明术后附加化疗病人以应用
In this study,6 0 post- operative pa- tients of esophageal cancer and cardiac can- cer were divided into three groups,the con- trast group,the PN group and the EN group.Evident difference of indexes of the patients'TSF,AC,TFN and weight were observed between the two testing groups and contrast group when 1 4days passed after operation.The patients in contrast group continuously kept negative nitrogen balance after operation.The nutrition sup- port of two testing groups gradually im- proved the nitrogen balance.Statistical dif- ference was obvious between the contrast group and the two test groups.The result showed that both PN and EN can improve the state of metabolosm if nutrition sup- port was used in the early stage after oper- ation.This research still observed some of the above patients who additionally used chemical treatment.The result showed that the patients malnutrition of protein- calorie of the contrast group became more serious.The two nutrition support way could improve the effect of chemical treat- ment.Comparing the PN with the EN indi- cates that PN is better to patients who add chemical treatment
出处
《肠外与肠内营养》
CAS
1997年第3期144-147,共4页
Parenteral & Enteral Nutrition
