摘要
目的 总结我科 45例胃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 胃癌手术后早期 ( 2 4小时 )经术中放置的鼻空肠管应用能全力进行早期肠内营养 ,术前、术后 7天测定血浆总蛋白、白蛋白、前白蛋白、转铁蛋白、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 胃癌术后 7天体重、前白蛋白和转铁蛋白较术前增高 ,与术前比有明显差异 (P<0 .0 5 ) ,淋巴细胞计数术后 7天较术前有明显升高 (P <0 .0 5 )。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 胃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 。
Objective To study the feasibility, safetyand clinical outcome of early use of enteral nutrition in postoperative patientswith gastric carcinoma.Methods Enteral nutririon was started 24 hours after operation via naso jejunum tube placed during operation. Weight,serum total protein, albumin, pre albumin, transferrin, hepatic and renalfunction, blood glucose, electrolytes and lymphocyte count were tested preoperatively and at postoperative day 7.Results Weight,pre albumin, transferrin at postoperative day 7 was higher than those before operation( P <0.05).Lymphocyte count also increased signifcantly( P <0.05).Just a fewpatients 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.Conclusion Early use of enteral nutrition after operation was safe, and it decreased medical cost compared with parenteral nutrition.
出处
《安徽医学》
2004年第1期24-26,共3页
Anhui Medical Journal
