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早期肠内营养在预防胃大部切除术后残胃排空障碍中的作用 被引量:19

Early enteral nutrition in preventing functional delayed gastric emptying after subtotal gastrectomy
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摘要 目的:探讨早期肠内营养(EEN)在胃癌病人根治性胃远端大部切除术后预防残胃排空障碍的作用。方法:回顾性分析我院2004年3月至2008年3月期间,胃癌病人行根治性胃远端大部切除术的临床资料,给予EEN者71例,与同期给予肠外营养(PN)的108例比较,观察EEN支持对病人术后残胃排空障碍发生率的影响。结果:EEN组病人残胃排空障碍发生率为1.4%(1/71),PN组为10.3%(11/107),EEN组胃排空障碍发生率显著低于PN组(P<0.05)。结论:EEN能有效地减少胃癌病人根治性胃大部切除术后残胃排空障碍并发症的发生。 Objective:To investigate the role of early enteral nutrition in preventing functional delayed gastric emptying(FDGE)after radical distal subtotal gastrectomy.Methods:A retrospective review was performed in clinical data of patients with gastric cancer undergoing radical distal subtotal gastrectomy in our hospital from March 2004 to March 2008.There were 71 patients receiving early enteral nutrition (group EEN,n=71) after operation and 107 patients receiving parenteral nutrition (group PN,n=107) at the same time.The outcomes of FDGE between of two groups were compared.Results:The incidence of FDGE in group EEN was 1.4%(1/71).And the incidence of FDGE in group PN was 10.3%(11/107).There was significant difference between the group EEN and the group PN (P0.05).Conclusion:Early enteral nutrition could significantly reduce the incidence of FDGE in gastric cancer patients undergoing radical subtotal gastrectomy.
出处 《肠外与肠内营养》 CAS 北大核心 2010年第3期150-152,共3页 Parenteral & Enteral Nutrition
关键词 早期肠内营养 残胃排空障碍 胃切除术 术后并发症 Early enteral nutrition Functional delayed gastric emptying Subtotal gastrectomy Postoperative complication
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