胃癌术后患者早期肠内营养支持的临床应用.pdf

胃癌术后患者早期肠内营养支持的临床应用黄国平蔡丽生沈俊涛吕陈彬[摘要]目的觀察胃癌术后患者早期肠内营养支持的临床应用效果。方法选取2016年9月～2018年9月我院胃癌术后患者120例随机分为早期肠外营养支持的对照组60例与早期肠内营养支持的观察组60例观察两组患者的恢复情况、营养指标及并发症发生率。结果观察组排气时间（3.51±1.16）d排便时间（4.28±0.42）d住院时间（11.36±2.16）d分别少于对照组P<0.05;术前两组营养指标对比P>0.05术后7d两组营养指标均较术前有了较大改善P<0.05且观察组白蛋白（35.72±1.59）g/L前白蛋白（256.37±1.35）mg/L血红蛋白（90.73±9.74）g/L分别显著高于对照组P<0.05;观察组（5.00%）并发症发生率显著低于对照组（16.67%）P<0.05。结论给予胃癌术后患者早期肠内营养支持能促进患者身体恢复有效改善其营养情况降低并发症发生率效果较好值得借鉴。[关键词]胃癌手术;早期肠内营养支持;营养指标;并发症[中图分类号]R473.73[文献标识码]B[文章编号]1673-9701（2020）07-0037-03ClinicalapplicationofearlyenteralnutritionsupportinpatientsundergoingsurgeryforgastriccarcinomaHUANGGuopingCAILishengSHENJuntaoLVChenbinDepartmentofGastrointestinalSurgeryZhangzhouAffiliatedHospitalofFujianMedicalUniversityZhangzhou363000China[Abstract]ObjectiveToinvestigatetheclinicalefficacyofearlyenteralnutrition（EN）supportinpatientsundergoingsurgeryforgastriccarcinoma.MethodsAtotalof120patientsexperiencingsurgeryforgastriccarcinomaatourhospitalfromSeptember2016toSeptember2018wereselected.Theywererandomlydividedintothecontrolgroup（n=60）andtheobservationgroup（n=60）.Patientsinthecontrolgroupreceivedearlyparenteralnutrition（PN）supportandthoseintheobservationgroupacceptedearlyENsupport.Post-operativerecoverynutritionindicesandincidenceratesofcomplicationsinallpatientswereobserved.ResultsTimetothefirstflatus（3.51±1.16）daysanddefecation（4.28±0.42）daysandlengthofhospitalstay（11.36±2.16）daysintheobservationgroupwereshorterthanthoseinthecontrolgroup（P<0.05）.Therewerenosignificantdifferencesinthebaselinenutritionindicesbetweenthetwogroups（P>0.05）.Howevernutritionindiceswereimprovedinthetwogroupsat7daysaf