摘要
目的：观察胃癌患者行手术后采取肠外营养支持（PN）与肠内营养支持（EN）的临床效果.方法：将符合条件的胃癌患者随机分为两组,营养支持前后分别与健康对照组进行比较,观查指标为有无恶心呕吐、腹痛、腹胀、腹泻等症状及体重的变化,测定的营养评定指标为血清白蛋白（Alb）、前白蛋白（Prealb）、转铁蛋白（TFN）、血红蛋白（Hb）.结果：三组营养支持前后在并发症发生率的比较上差异无显著性 （P〉0.05）.PN组和EN组的Alb,Prealb和TFN在营养支持后均明显升高,差异有显著性（P〈0.05）,对照组前后两次的测值无明显变化.针对Hb,三组数据均有所下降,但差异无统计学意义（P〉0.05）.PN组与EN组间各营养指标差异的比较,具有统计学意义（P〈0.05）.结论：术后营养疗法对胃癌患者术后康复很有帮助,且术后早期肠内营养较肠外营养有更多优点.
Objective： To observe the post--operative patients with gastric cancer to parenteral nutrition support （PN） and enteral nutrition fEN） of the clinical effects. Methods： Eligible patients with gastric cancer were randomly divided into two groups before and after nutritional support compared with healthy control group and observing whether the search index for nausea and vomiting, abdominal pain, abdominal distention, diarrhea and other symptoms and weight change, measured nutritional assessment indicators serum albumin （Alb）, prealbumin （Prealb）, transferrin （TFN）, hemoglobin （Hb）. Resultsi The three groups of nutritional support before and after comparison of the incidence of complications was no significant difference （ P 〉0.05）. PN group and the EN group Alb, Prealb and TFN in nutrition support after were significantly higher, the difference was significant （ P 〈0. 05）, the control group before and after the two measured values no significant change. For Hb, three sets of data have decreased, but the difference was not statistically significant （ P 〉0.05）. PN group and the EN differences between the two groups comparison of the various nutrition indicators, with statistically significant （ P〈0.05）. Conclusion： Postoperative nutritional therapy on postoperative rehabilitation of patients with gastric cancer helpful, and early postoperative enteral nutrition compared with parenteral nutrition, there are more advantages.
关键词
胃癌患者
肠内营养
肠外营养
效果
Gastric cancer patients
Enteral nutrition
Parenteral nutrition
Effect
