摘要
34例胃癌患者随机分为两组（每组17例），肠内营养组（enteralnutrition,EN组）和肠外营养组（parenteralnutrinon,PN组）。围手术期给予等热卡等氮量的营养支持，术前进行7～10天的营养支持，术后3～10天经不同途径进行营养支持。结果，术后10天两组血清转铁蛋白（TF）、前白蛋白（Prealb），纤维连接蛋白（FN）水平均显著提高（P＜0．05或P＜0．01）．术后10天PN组Prealb、FN水平显著高于EN组（P＜0.31。；而EN组肠功能恢复早于PN组，住院时间和营养费用少于PN组。提示伴有严重营养不良的胃癌患者、围手术期明营养支持能改善机体营养状况；术后短期疗效对比PN优于EN．而EN有利于肠功能恢复．可减少营养费用和住院日。
34 cases of gastric cancer patients are randomly devided into enteral nutrition (EN)group and parenteral nutrition (PN) group. Each group has 17 cases. Nutrition maintenance shall be given with isocalorie and isonltrogen during the perioperative period. 7～10 days of nutrition maintenance is given before operation, and 3～10 days of nutrition mintenance is given through different channels after operation. The result is, two groups of serum transfcrritin (TF), prealbuhan (Prealb) and fibronection (FN) increase rernarkably 10 days after operation (P<O. 05 or P<0. 01). Prealb and FN in PN group (P<0. 01) is remarkably higher than that in EN group 10 days after operation. But intestinal function in EN group recovers earlier than that in PN group, and hospitalization time and nutrition expenses of EN group is less than that of PN group. The Paper showing out that nutrition maintenance during perioperative period can improve nutrition situation of the organism for the gastric cancer patient with severe malnutrition. With regard to curative effect, PN group is better than EN group, but EN group is benefical to intestinal function recovery, as well as reduces nutrition expenses and hospltalization time.
出处
《临床外科杂志》
1998年第2期70-72,共3页
Journal of Clinical Surgery
关键词
胃癌
营养支持
围手术期
Gastric cancer
Nutrition maintenance Perioperative period
