【摘要】 目的探讨胃癌术后早期肠内营养的可行性、安全性和临床疗效。方法随机选取43例胃癌患者术后24h给予肠内营养素“能全力”,术前和术后第8d测定体重、血红蛋白、血浆蛋白、白蛋白、转铁蛋白和生化指标,临床观察生命指征,胃肠道功能恢复情况及各种不良反应。结果胃癌术后第8d体重、血红蛋白、血浆蛋白、白蛋白、转铁蛋白较术前增高,与术前比较有明显差异(P<0.05),各项生化指标与术前比较无明显差异,胃肠功能恢复较快,减慢输注速度或调解输注温度,没有出现严重的消化道症状。所有病例研究期内无死亡、无严重并发症。结论早期肠内营养支持是安全有效的,既能改善全身营养状态,又能防止感染性并发症的发生。更多还原

【Abstract】 Objective To evaluate the safety, feasibility and clinical effects of early EN in postoperative patients with gastric cancer. Methods 43 patients were selected at randomly and were given En support early in 24 h after operation through catheter of jejunostic tube. The weight, Hb, Alb and parameters were dete cted preoperatively and at 8 day postoperative. The clinical findings, recovery of the bowl and side effects were also observed. Results The weight, Hb and Alb were better in postoperation than those preoperation. The parameters had no changes. The recovery of bowl and clinical finding were satisfied without complications and dead. Conclusion The early En support might be effective and safe that could improve the nutrition status and prevent the infection and complication.更多还原