摘要
目的:系统分析评价胃癌根治术后肠内营养与肠外营养支持治疗的疗效。方法:计算机检索中国生物医学光盘数据库、中文生物医学期刊数据库等,收集比较胃癌根除术后肠内营养与肠外营养支持的随机对照治疗结果。结果:共纳入6项研究,包括426例研究对象。meta分析结果显示,肠内营养组排气时间短于肠外营养组[OR=-2.69,95%CI(-3.45,-2.13)];排便时间、总蛋白、白蛋白、血红蛋白等指标间不存在异质性(P>0.05,I2=0%)。结论:胃癌术后肠内营养支持的患者排气时间较肠外营养组短,说明肠内营养符合机体的一般代谢规律,可能是目前合理有效的营养支持治疗方法,可以促进预后且其安全性可以接受。
objective To evaluate the effectiveness of enteral nutrition and parenteral nutrition applied on patient undergoing gastric tumor operation,so as to provide references for clinical practice and study. Methods The following databases including The Chinese Biomedical Literature Database and CMCC were Searched on computer, and other searches were also performed to collect all relevant randomized controlled trials （RCTs） on enteral nutrition and parenteral nutrition applied on patient undergoing gastric tumor operation, Results Total ly 6 studies containing 426 subjects were enrolled. Meta analysis showed that the average time of exhausting by anus of enteral nutrition was lower than the group of parenteral nutrition [OR=-2.69,95%CI （-3.45,-2.13）], Aver age time of defecation, total protein, x-protein, hemoglobin and hospital stays had no Heterogeneity （P 〉 0.05, I^2=0%）. Conclusion The average time of exhausting in Enteral nutrition was lower than parenteral nutrition on patient undergoing gastric tumor operation, and enteral nutrition accord with the body＇s metabolism of gener al rule, is the reasonable and effective nutritional support treatment, and oatients oostouerative recover faster.
出处
《中国中西医结合外科杂志》
CAS
2013年第5期505-508,共4页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
关键词
胃癌根治术
肠内营养
肠外营养
META分析
Radical gastrectomy
enteral nutrition
parenteral nutrition
a meta analysis
