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胃肠道肿瘤患者术后早期肠内营养支持的疗效观察

EFFICACY OBSERVATION OF EARLY POSTOPERATIVE ENTERAL NUTRITION SUPPORT FOR GASTROINTESTINAL CANCER PATIENTS AFTER SURGERY

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【作者】 韩保卫韩鸿彬李朝辉董帅军刘帅锋许震

【Author】 HAN Bao-wei,HAN Hong-bin,LI Chao-hui,et al.(The Central Hospital of Luoyang city,Luoyang 471009,China)

【机构】 河南省洛阳市中心医院

【摘要】 [目的]探讨胃肠道肿瘤患者术后早期肠内营养支持的临床疗效。[方法]选择某院2009年6月~2010年9月期间收治的胃肠道肿瘤手术患者98例,随机将患者分为观察组和对照组,每组49例。两组患者经手术治疗后,对照组患者行肠外营养支持等治疗,而观察组患者则给予早期肠内营养支持治疗,并对两组患者的临床治疗效果等相关指标进行对比分析。[结果]与对照组患者相比,观察组患者的血浆前白蛋白和血浆视黄醇结合蛋白均显著增高,差异均具有统计学意义(P﹤0.05);观察组患者的肛门排气时间和胃排空恢复时间以及住院时间均显著减少,差异均具有统计学意义(P﹤0.05);观察组患者并发症的发生比率显著降低,而未发生并发症的比率则显著提高,差异均具有统计学意义(P﹤0.05)。[结论]早期肠内营养支持在胃肠道肿瘤患者术后中的应用,其疗效确切效果显著,对于改善患者的营养状况和减少并发症的发生具有极其重要的临床价值。

【Abstract】 [Objective]To probe into the clinical efficacy of early postoperative enteral nutrition support for gastrointestinal cancer patients after surgery.[Methods]Selected 98 patients with gastrointestinal cancer from June 2009-September 2010 in our hospital,then patients were randomly divided into two groups.The control group was treated with parenteral nutrition support,observation group was treated with early enteral nutrition therapy,and clinical treatments of the two groups were compared and other related indicators were analyzed.[Results]Compared with the control group,the patients’ plasma prealbumin and retinol binding protein in plasma were significantly increased in the observation group,there were significant differences(P﹤0.05).The patients of anal exhaust time and recovery time and hospital time for gastric emptying were significantly reduced in the observation group,there were significant differences(P﹤0.05).The rate of complications in the observation group was significantly lower,there were significant differences(P﹤0.05).[Conclusion]The curative effect of early enteral nutrition in gastrointestinal cancer patients is remarkable,with significant effect in improving the nutritional status of patients and reducing the incidence of complications,which had extremely important clinical value.

【关键词】 胃肠道肿瘤肠内营养早期
【Key words】 Gastrointestinal cancerEnteral nutritionEarly
  • 【文献出处】 现代预防医学 ,Modern Preventive Medicine , 编辑部邮箱 ,2011年19期
  • 【分类号】R735
  • 【被引频次】13
  • 【下载频次】114
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