摘要
目的总结我科1998～1999年18例食道癌术后早期应用肠内营养支持的经验,探讨早期应用肠内营养的可行性、安全性及临床效果。方法食道癌手术后早期(12小时)经术中放置的鼻空肠管进行早期肠营养,术前、术后1、7、14天测定血浆白蛋白、肝肾功能、血糖、电解质、淋巴细胞计数。临床观察营养支持期间有无腹胀、腹痛、腹泻、恶心、呕吐等。结果食道癌术后7天白蛋白较术前增高,术后14天明显增高,与术前比有明显差异(P<0.01)。淋巴细胞计数术后14天较术前有明显升高(P<0.01)。个别患者出现腹胀、腹泻、经对症治疗缓解,全组患者均能耐受早期肠营养。未发现有肝、肾功能、血糖、电解质异常。结论食道癌术后早期应用能全力进行早期肠内营养可以明显改善患者营养状态,安全可行无其他并发症,与静脉营养相比可以明显降低医疗费用。
Objective To study the feasibility,safety and clinical outcome of early use of enteral nutrition in postoperative patients with esophagus cancer.Methods Enteral nutrition was started12hours after operation via naso-jejunum tube placed during operation.Serum albumin,hepatic and renal function,blood glucose,electrolytes and lymphocyte count were tested preoperatively and at postoperative day1,7and14.Results Albumin on postoperative day7was higher than it was befored operation,and significantly higher on postoperative day14(P<0.05).Lymphocyte count also increased significantly(P<0.01).Just a few patients experienced abdominal distension and diarrhea but recovered after medication.All patients tolerated early EN.No abnormality of hepatic and renal function,blood glucose,electrolytes were found.Conclusions Early use of enteral nutrition after operation was safe and it decreased medical cost compared with parenteral nutrition.
出处
《中国临床营养杂志》
2002年第2期122-124,共3页
Chinese Journal of Clinical Nutrition
