摘要
目的:探讨进展期胃癌根治术后患者早期实施肠内营养(EN)和肠外营养(TPN)的临床效果。方法:将120例进展期胃癌根治术患者随机分为对照组和观察组,各60例,对照组单纯实施肠外营养,而观察组进行早期联合肠内营养和肠外营养,比较2组患者的免疫功能和近期预后指标等。结果:观察组术后的IgA、IgG水平均明显高于对照组(P<0.05),而观察组的CRP水平则明显低于对照组(P<0.05);观察组患者的肛门排气时间、感染并发症、营养费用及住院时间均明显低于或短于对照组(P<0.05)。结论:进展期胃癌根治术患者早期联合肠内营养和肠外营养,可改善免疫功能,加快肠道功能恢复,降低感染并发症发生率,改善近期预后。
[Objective] To explore clinical effect about early enteral nutrition （EN） and parenteral nutrition （TPN） in patientswith advanced gaslric cancer undergoing radical gastrectomy. E Method] 120 cases of advanced gastric cancer patients with radi-cal operation were randomly divided into control group （60 cases） and observation group （60 cases）. The control group wastreated with TPN, and the observation group was given EN combination with TPN. Then, the indexes of immune function andrecent prognosis were compared between the two groups. E Result] The levels of Ig A and Ig G in observation group after oper-ation were much higher than that of the control group （ P 〈 0. 05）, but CRP level was much lower than that of the control group（ P 〈 0.05）. The indexes such as anal exhaust time, complication of infection, nutritional cost and length of stay in the obser-vation group were much lower or shorter than the control group （ P 〈 0.01 ）. [ Conclusion] EN and TPN treated in advancedgastric cancer patients after radical operation can improve their immune function, speed up functional recovery of intestinal tract,cut down the incidence rate of infection and improve recent prognosis.
出处
《浙江医学教育》
2017年第1期51-53,共3页
Zhejiang Medical Education
基金
温岭市科技项目(编号:2011WLCA0059)
关键词
进展期胃癌
根治术
肠内营养
肠外营养
临床效果
advanced gastric cancer
radical correction total correction
enteral nutrition
parenteral nutrition
clinical effect
