摘要
目的介绍卡文联合谷氨酰胺及ω-3脂肪酸在合并梗阻胃窦癌患者围术期应用研究。方法2008年1月至2010年8月在河南省肿瘤医院普外科38例合并梗阻胃窦癌患者，随机分为卡文联合谷氨酰胺及ω-3脂肪酸营养支持治疗组（20例）和卡文营养支持治疗组（18例），对比两组患者住院费用、术后并发症及术后免疫与营养指标差异。结果卡文联合谷氨酰胺营养支持治疗组患者住院费用、术后并发症发生率与卡文治疗组相当，两组术后营养指标差异无统计学意义，而免疫指标差异有统计学意义。结论合并梗阻胃窦癌患者围手术期应用卡文联合谷氨酰胺及ω-3脂肪酸行营养支持治疗是安全，有效的肠外营养途径，可明显改善患者免疫与营养状况指标。
Objective To introduce the research of combined application of Kabiven PI, gluta- mine and ω-3 fatty acid in perioperative period of patiens with gastric antrum cancer complicated by in- testinal obstruction. Methods Thirty - eight patients with gastric antrum cancer complicated by obstruc- tion in general surgery of Henan tumor hospital from Jan. 2008 to Aug. 2010 were divided into observa- tion group and control group randomly, the patients in observation group received treafment with Kabiven PI, glutamine and ω-3 fatty acid and those in control group received treatment with Kabivent PI only, comparing the differences in hospitalization expenses, postoperative complications, postoperative immune function and nutritional indexes. Results No significant difference was observed in the hospitalization expenses, the occurrence rate of postoperative complications and nutritional indexes between the two groups. There were significant differences in postoperative immune indexes. Conclusions The treatment by combined application of Kabiven PI, glutamine and ω-3 fatty acid in perioperative period of patiens with gastric antrum cancer complicated with obstruction is an effective and safe parenteral nutrition and can significantly improve postoperative immune and nutritional indexes.
出处
《中国实用医刊》
2011年第20期29-32,共4页
Chinese Journal of Practical Medicine
关键词
卡文
胃癌
肠外营养
生存质量
Kabiwen PI
Stomach tumor
Parenteral nutrition
Quality of life
