期刊文献+

117例胃癌术后早期营养支持的临床分析 被引量:6

Clinical analysis of early postoperative nutrition support in 117 cases with gastric cancer
暂未订购
导出
摘要 目的探讨早期营养支持对胃癌术后患者的临床效果和差异。方法将2009年至2011年来,在本院行胃癌根治术的117例患者随机分为肠内营养组(EN)和肠外营养组(PN),观察两者术后排气排便时间、营养支持的并发症、体重、血浆白蛋白、早期化疗不良反应的发生率。结果 EN组患者,肛门排气时间明显优于PN组,早期化疗不良反应明显低于PN组。结论胃癌术后营养支持,显著改善术后的营养指标,尤其是肠内营养促进消化道功能恢复、营养康复、减少早期辅助化疗不良反应,能提高生活质量。 Objective To investigate the clinical effect and difference of early postoperative nutrition support on patients with gastric cancer. Methods 117 patients with gastric cancer after surgery from 2009 to 2011 were randomly divided into two groups, one was enteral nutrition group (EN), the other was parenteral nutrition group (PN). The flatus and defecation time, rate of complication, body weight changes, plasma albumin level and the rate of complications after chemotherapy were observed. Results The time of flatus time after operation in the EN group was shorter than that of the PN group. The rate of adverse reactions of chemotherapy in the EN group was lower than that of the PN group. Conclusion Postopera- tive nutritional support of patients with gastric cancer especially EN significantly improve the nutritional indicators, promote the gastrointestinal func- tion recovery, relieve patients" rate of adverse reactions of chemotherapy and improve the quality of life.
出处 《浙江创伤外科》 2013年第3期303-305,共3页 Zhejiang Journal of Traumatic Surgery
关键词 肠内营养 肠外营养 胃癌 外科手术 Enteral nutrition Parenteral nutrition Gastric cancer Surgery
  • 相关文献

参考文献6

二级参考文献15

  • 1Guo Hao Wu Yan Wei Zhang Zhao Han Wu Department of General Surgery.zhongshan Hospital,ShangHai Medical University.ShangHai 200032.China.Modulation of postoperative immune and inflammatory response by immune-enhancing enteral diet in gastrointestinal cancer patients[J].World Journal of Gastroenterology,2001,7(3):357-362. 被引量:68
  • 2[1]MooreFA,Moore EE,Jones TN,et al.TEN versus TPN following major abdominal trauma-reduced septic morbidity.J Trauma,1989,29:916-922
  • 3[2]Scolapio JS.A review of the trends in the use of enteral and parenteral nutrition support.J Clin Gastroenterol.2004,38:403-407
  • 4Krishnan Sriram.The 35th Wodd Congress of the International[J].College of Surgeons,2006,131-132.
  • 5Kompan L,Kremzar B,Gadzijev E,et al.Effects of early enter-al nutrition on intestinal permeability and the development of multiple organ failure after multiple injury[J].Intensive Care Med,1999,25(2):157-161.
  • 6Weimann A,Braga M,Harsanyi L,et al.ESPEN guidelines on enteral nutrition:surgery including organ transplantation[J].ClinicalNutrition,2006,25(2):224-244.
  • 7Klidjian Am.Archer TJ.Foster K J,et al.Detection of dangerous malnutrition[J].JPEN,1982,6(1):119-121.
  • 8Robinson MK,Trajillo EB,Mogenesn KM,et al.Improsing nutritional screening of hospitalized patients:The role of prealbumin[J].JPEN,2003,27 (6):295 -297.
  • 9A.S.P.E.N.Board of Directors asndthe clinical guidelines task force:guidlines for the use of parentoral and enferal Nutrition in adult and Pediatric patients[J].JPEN,2002,26(1S):1SA-123SA.
  • 10Ven dan Berghe G,Wouters P,weekers F,et al.Intensive inswin therapy in critically Ill patient[J].E Engl J Med,2001,32 (3):1359-1367.

共引文献164

同被引文献35

  • 1翟国文.胃癌根治术后早期肠内营养支持的体会[J].河南外科学杂志,2010,16(1):56-57. 被引量:5
  • 2刘俊,夏强.胃癌术后膳食纤维和早期肠内营养与消化道并发症的关系[J].中华胃肠外科杂志,2005,8(3):223-225. 被引量:57
  • 3Choi I J. Current evidence of effects of Helicobacter pylori eradi- cation on prevention of gastric cancer[J]. The Korean journal of in- ternal medicine, 2013, 28(5): 525-537.
  • 4Lee J H, Han H S. A prospective randomized study comparing open vs laparoseopy-assisted distal gastreetomy in early gastric cancer: early results [J]. Surgical Endoscopy And Other Interven- tional Techniques, 2012, 19(2): 168-173.
  • 5Lee J H, Yom C K, Han H S. Comparison of long-term outcomes of laparoscopy-assistcd and open distal gastrectomy for early gas- tric cancer[J]. Surgical endoscopy, 2013, 23(8): 1759-1763.
  • 6Choi J, Kim S G, Im J P, et al. Comparison of endoscopic ultra- sonography and conventional endoscopy for prediction of depth of tumor invasion in early gastric cancer [J]. Endoscopy, 2010, 42 (09): 705-713.
  • 7Gotoda T, Iwasaki M, Kusano C, et al. Endoscopic resection of early gastric cancer treated by guideline and expanded National Cancer Centre eriteria[J]. British Journal of Surgery, 2011 , 97(6): 868-871.
  • 8郑民华.我国腹腔镜胃肠肿瘤外科的发展方向[J].腹腔镜外科杂志,2008,13(1):1-3. 被引量:20
  • 9周华,杜斌,柴文昭,周建新,庄海舟,丁琳,姜琦,赵惠颖,李宏亮,章志丹,刘荣,张久之,李政霖,朱桂军,任珊,冯敏,秦帅,许强宏,刘松桥,杨晓军,张纳新,林锡芳,何振扬,李志祥,刘京涛,李远,许媛,何伟,高爽.我国危重症病人营养支持现状调查分析[J].肠外与肠内营养,2009,16(5):259-263. 被引量:67
  • 10崔明,李子禹,邢加迪,马逸远,季加孚,苏向前.腹腔镜与开腹胃癌根治术D2淋巴结清扫的比较研究[J].中国微创外科杂志,2010,10(5):395-398. 被引量:61

二级引证文献58

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部