【摘要】 目的:对于胃癌合并糖尿病的病人,探讨术后早期肠内营养(EEN)对病人术后恢复情况的影响。方法:回顾性地比较102例胃癌合并糖尿病的病人接受EN(n=48)或全肠外营养(TPN,n=54)的疗效,了解两组病人术后恢复情况和血糖控制情况的差异。结果:与TPN组病人比,EN组病人平均肛门排气时间和住院时间较短(P<0.05),术后第7天空腹血糖较低(P<0.05),但胃肠道症状发生率较高(P<0.05)。结论:对胃癌合并糖尿病的病人术后EEN仍然适用,但在营养支持过程中需要更精心地护理,以减少胃肠道并发症。更多还原

【Abstract】 Objective: To investigate the clinical efficacy of the early enteral nutrition(EEN) for the gastric cancer patients with diabetes after curative surgery.Methods: The recovery and blood glucose control were compared in the gastric patients with diabetes who received EEN support(n=48) or who received the total parenteral nutrition(TPN) support(n=54).Results: The period of anus exhaust and the length stay were significantly shorter in the EEN group compared the TPN group(P<0.05).EEN patients had lower blood glucose level 7 days after surgery(P<0.05),but they had higher incidence of gastrointestinal symptoms(P<0.05).Conclusion: Early EN support is suitable for the gastric patients with diabetes and need for care better.更多还原