摘要
目的 :通过对全胃及近端切除术后的患者给予肠内营养治疗的方法 ,探讨肠内营养对全胃及近端切除术后患者的疗效及可行性。方法 :选择行近端或全胃切除的胃癌患者 40例 ,随机分为两组 ,Ⅰ组 (对照组 ) 2 0例 ,术后接受 9天常规周围静脉补液。Ⅱ组 (试验组 ) 2 0例 ,术后 72h后开始肠内营养治疗 (连续 7天 )。对两组患者术前、术后进行营养状态评价。结果 :试验组患者术后体重及营养状态均较对照组有明显改善 ,组间差异显著 (P <0 .0 1)。对照组术后均呈负氮平衡 ,而试验组术后氮平衡状况迅速改善 (P <0 .0 1) ,术后试验组生存质量较对照组明显升高(P <0 .0 1) ,且平均术后住院日明显短于对照组 (P <0 .0 1)。结论 :胃癌术后肠内营养治疗安全、可靠、简便、经济 ,在临床上有很好的应用价值。
Objective: This study is designed to compare the effects of the nourishment for patients undergoing gastric cancer operations comparing enteral nutrition (EN) with parenteral. Methods: Forty patients undergoing cardia or total gastrectomies were allocated to two groups randomly. The control group received routine peripheral parenteral infusion and, the test group was given EN for seven days consecutively from the third day after the operation. The pre-and post-operative nutritional status of these two groups were collected. Results: The body weight and nutritional status were better in the test group. The difference between the two groups was significant ( P < 0.01). Conclusion: The enteral nutritional support after gastrectomy for cancer is an effective way of postoperative nutritional support and is safe, reliable, simple and clinically valuable.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1999年第8期565-567,共3页
Chinese Journal of Clinical Oncology
基金
卫生部直属机构重点项目基金
关键词
胃手术
营养支持
肠内营养
胃肿瘤
Gastrectomy Nutritional support Enteral nutrition Rutine transfusion
