摘要
目的探讨老年胃癌术后早期联合肠内营养支持对术后恢复的作用。方法随机将86例老年胃癌患者分为肠外营养联合早期肠内营养组(parenteral and early enteral nutrition,PAEEN)和全肠外营养组(total parenteral nutrition,TPN),对比其术后恢复情况、并发症发生率和平均住院费用。结果 86例患者均康复出院,PAEEN组术后最早第2天肛门排气,3例患者肺部感染,10例患者出现恶心,2例腹胀,8例有腹泻表现;TPN组术后最早第6天排气,9例患者肺部感染,1例全胃患者有吻合口瘘出现,全肠外营养支持后治愈,5例患者有不同程度的反流,7例排气前有明显的腹痛腹胀。结论老年胃癌术后早期联合肠内营养能明显改善患者的营养状况,减少术后并发症的发生,符合患者的病理生理需求,具有安全、有效、合理的特点。
To explore the role of elderly patients with gastric early postoperative enteral nutritional support on postoperative recovery beds. Methods 86 elderly patients with gastric cancer were randomly divided into parenteral and early enteral nutrition （PAEEN） and total parenteral nutrition group （TPN）, and compared their postoperative recovery, complicationsincidence and average cost of hospitalization. Results 86 cases were discharged. Patients in PAEEN group earliest anus exhausted at the 2nd day. There were 3 cases of pulmonary infection, 10 cases of patients with nausea, 2 cases of abdominal distension, 8 cases of diarrhea performance. Patients in TPN group earliest exhausted at the 6th day. There were 9 cases of pulmonary infection, 1 case of total gastrectomy anastomotic leakage. Total parenteral nutrition cured, 5 cases had varying degrees of reflux, 7 cases had obvious abdominal pain, bloating in the exhaust. Conclusion Early postoperative enteral nutrition in elderly gastric cancer can significantly improve the nutritional status of patients, reduce the incidence of postoperative complications.
出处
《胃肠病学和肝病学杂志》
CAS
2013年第1期43-45,共3页
Chinese Journal of Gastroenterology and Hepatology
关键词
老年
胃癌
术后
早期
肠内营养
Old
Gastric cancer
Postoperative
Early stage
Enteral nutrition
