早期肠内营养在胃癌根治术患者中的效果观察.docVIP

早期肠内营养在胃癌根治术患者中的效果观察 　　[摘要] 目的 观察早期肠内营养在胃癌根治术患者中的效果。方法 选取2011年7月～2013年3月于本院进行治疗的60例胃癌根治术患者为研究对象，将其随机分为对照组与观察组，每组30例，对照组给予全肠外营养支持，观察组则进行早期肠内营养干预，然后将两组肛门排气时间、并发症发生率及干预前后的机体状态恢复指标进行比较。结果 观察组术后24h及24～36h的肛门排气率均高于对照组，并发症发生率低于对照组，干预后第7及14天的营养与免疫指标均优于对照组，差异均有统计学意义（P均0.05）。结论 早期肠内营养在胃癌根治术患者中的应用效果较好，可快速促进患者的机体康复。 　　[关键词] 早期肠内营养；胃癌根治术；效果 　　[中图分类号] R735.2 [文献标识码] B [文章编号] 2095-0616（2013）22-191-02 　　Observation on the effect of early enteral nutrition in the patients with radical operation for stomach carcinoma 　　LI Hui 　　Department of General Surgery，Peoples Hospital of Xinbin Manchu Autonomous County in Liaoning Province，Xinbin 113200，China 　　[Abstract] Objective To observe the effect of early enteral nutrition in the patients with radical operation for stomach carcinoma. Methods 60 patients with radical operation for stomach carcinoma in our hospital from July 2011 to March 2013 were selected as research object，and they were randomly divided into control group and observation group included 30 cases in each group，the control group were given to total parenteral nutrition support，the observation group were intervened with early enteral nutrition，then the anal exhaust time，incidence of complications and body function recovery indexes before and after the intervention of two groups were compared. Results The anal exhaust rate of observation group at 24h and 24 to 36h were higher than those of control group，incidence of complications was lower than that of control group，nutrition and immune indexes at seventh and fourteenth day after the intervention were all better than those of control group，all P0.05，there were all significant differences.Conclusion The application effect of early enteral nutrition in the patients with radical operation for stomach carcinoma is better， and it can quickly promote the rehabilitation of patients. 　　[Key words] Early enteral nutrition；Radical operation for stomach carcinoma；Effect 　　随着胃癌根治术临床应用率的提升，患者术后营养支持的研究也不断增多，此类患者术后营养支持的选择是对患者术后康复及