摘要
目的观察术后早期肠内营养对胃癌术后胃肠功能恢复以及和营养状况的影响。方法收集胃癌手术患者共90例,随机分为对照组45例和观察组45例。对照组于术后24 h开始进行肠外营养,观察组于术后24 h起进行肠内营养。比较2组排气和排便时间及肠鸣音恢复时间。检测2组腹胀发生情况。应用酶联免疫法(Elisa)测定2组前白蛋白(PA)、白蛋白(ALB)和生长激素(GH)水平。结果术后观察组患者的排气、排便以及肠鸣音恢复时间明显少于对照组(P<0.01)。术后24 h和48 h观察组的腹胀发生率显著低于对照组(P<0.01)。观察组患者胃肠功能恢复优良率为53.33%,对照组为28.89%,2组差异有统计学意义(P<0.05)。术后10 d,观察组患者血清PA、ALB和GH水平显著高于对照组(P<0.01)。结论胃癌术后早期肠内营养可促进胃肠功能恢复,改善机体营养状况。
Objective To observe the influence of early enteral nutrition on gastrointestinal function and nutritious status of gastric carcinoma after operation. Methods 92 patients with gastric carcinoma were selected and randomly divided into the control group and the observation group, with 45 cases in each group. The control group was treated with parenteral nutrition group 24 h after operation. The observation group was treated with enteral nutrition group. Recovery time of evacuation, defecation, and bowel sound in the 2 groups were recorded. Occurrence rate of abdominal distension was compared in both groups. Levels of prealbumin （PA）, albumin （ALB）, and growth hormone （GH） were detected in both groups by Elisa. Results After operation, time of evacuation, defecation, and bowel sound for the first time in the observation group were shorter than the control group（ P 〈 0.01 ）. Occurrence rate of abdominal distension in the observation group was obviously lower than the control group 24 and 48 hours after operation（ P 〈0.01 ）. The excellent and good rate of the observation group was 53.33% ,which was higher than the control group, 28.89% with statistical differences （P 〈 0.05 ）. 10 days after operation, serum levels of GH, PA, and ALB in the observation group were evidently higher than the control group with statistical differences （ P 〈 0.01 ）. Conclusion Early enteral nutrition can promote the recovery of gastrointestinal function and improve nutritious status of gastric carcinoma after operation.
出处
《实用癌症杂志》
2017年第5期767-769,共3页
The Practical Journal of Cancer
关键词
肠内营养
胃癌
胃肠功能
营养状况
Early enteral nutrition
Gastric carcinoma
Gastrointestinal function
Nutritious status
