摘要
目的 探讨食管贲门癌术后 12h行早期肠内营养支持的有效性和安全性。方法 将2 0例食管贲门癌患者随机分为两组 ,每组 10例 ,分别于术后 12h予以等氮和等热卡的肠内和肠外营养支持 ,持续 8d。结果 早期肠内营养支持组在支持前后白蛋白较对照组 (肠外营养 )明显升高 ,且于术后第 5天即可达到正氮平衡 ,无明显的肝肾功能影响。结论 食管贲门癌术后
Objective To study the safety and efficiency of early enteral nutrition (EEN) at 12 hours after operation of esophageal and cardiac carcinoma. Methods Twenty two patients with esophageal and cardiac carcinoma were randomly divided into 2 groups: TPN group and EEN group. TPN or EEN with equal amount of nitrogen and calorie was administrated in TPN group or EEN group respectively 12 hours after operation. The nutrition support lasted for 8 days. Results The albumin of patients in EEN group increased apparently and there weren't apparent changes in TPN group. Positive nitrogen balance was achieved at the fifth day post operation in EEN group. No serious hepatic and renal damage was seen in either group. Conclusions The early enteral nutrition could be well tolerated. The early enteral nutrition (EEN) in patients with esophageal and cardiac carcinoma at 12 hours after opeation is of safety and efficiency.
出处
《消化外科》
CSCD
2003年第2期132-134,共3页
Journal of Digestive Surgery
关键词
食管贲门癌
术后
肠内营养
肠外营养
esophageal and cardiac carcinomapostoperation nteral nutrition parenteral nutrition
