液囊空肠管在胃癌术后早期肠内营养支持临床研究.docVIP

液囊空肠管在胃癌术后早期肠内营养支持临床研究 　　摘要:目的:研究使用液囊空肠管在胃癌术后早期肠内营养支持治疗的安全性#65380;可行性 及临床作用。 方法:选择胃癌根治性手术86例患者,随机分为肠内营养(EN)46例,肠外 营养(PN)40例。EN组通过液囊空肠管术后24h开始肠内营养,PN组给予静脉营养。检测手 术前后营养状况#65380;免疫指标及观察临床表现。结果:术后EN组血清前蛋白#65380;转铁蛋白#65380;IgA #65380;IgG#65380;IgM及CD3#65380;CD4/CD8较PN组上升快,差异有统计学意义(P0.05);肛门 排气时间EN 组比PN组早(P0.05);术后住院时间EN组较PN组短(P0.05);并发症及营养治疗 费用EN 组较PN组少(P0.01)。结论:胃癌术后给予早期肠内营养支持,可促进胃肠功能恢复 #65380;改 善营养代谢#65380;减少并发症的发生#65380;缩短术后住院日#65380;减轻营养治疗费用,液囊空肠管应用有 安全#65380;无并发症及便于护理优点。 　　关键词:胃癌术后; 肠内营养; 早期;液囊空肠管 　　中图分类号: R735.2 文献标识码: A 文章编号: 1008-2409(2009)05-0817-03 　　 　　Clinical study on early enteral nutrition in postoperative patients with gastriccancer through liquid capsule jejunal tube/ZHONG Li, ZHANG Guang-yu, DONG Ch en-cheng,et al.∥Department of GeneralSurgery, The Affiliated Hospital of Gui lin Medical College, Guilin 541001, China 　　Abstract: Objective:To investigate the safety, feasibility and clinical effe cts of early enteral nutrition(EN)in postoperative patients with gastric cance r through liquid capsule jejunal tube. Methods:86 cases patients with gastric c ancer were randomly divided into enteral(EN,n=46), parenteral(PN,n=40) groupspostoperatively. The EN group was treated with EN after 24h postoperatively, andthe PN group received normal TPN. The nutritional and immune parameters and cli n ical findings were observed. Results:The restoring time of prealbumin and transf erin in serum in EN group was shorted as compared with PN group. There was stati stical significance between EN and PN groups?(P0.05)?. The level of IgA#65380; IgG#65380;IgMand CD3#65380;CD4/CD8in EN group rised more swiftly than PN group.The difference was statis tical significant(P0.05). Recovery time of intestinal function wa s earlier in EN group than that in PN group(P0.05). The mean postoperative h os pita l stay of the EN group was significantly shorter than that of the EN group. The complications were less and treatment fee wassignificantly lower than that in PN group. Conclusion: