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目的观察食管癌术后行肠外营养与同时留置鼻肠管行肠内营养的临床疗效。方法将行食管癌根治术的90例患者,按术中是否留置鼻肠管分成A、B两组,每组45例,A组术后单纯留置胃管作胃肠减压同时行静脉肠外营养,B组除留置胃管外,同时留置鼻肠管从术后第一天开始行肠内营养,监测术前和术后患者的血红蛋白(Hb)、血浆蛋白(ALB)、前清蛋白(PA)和转铁蛋白(TF),观察并比较胃肠道功能恢复情况和住院时间等。结果术后7d和14dB组Hb、PA与A组比较有统计学意义(P<0.05),且胃肠道功能恢复要早,住院时间缩短。结论食管癌根治术后在肠外营养的同时留置鼻肠管早期行肠内营养的临床疗效优于单纯留置胃管减压予肠外营养的临床疗效,有利于术后康复。
Objective To observe the clinical effect of enteral nutrition after esophagectomy with enteral nutrition after enteral administration. Methods 90 patients who underwent esophageal cancer radical resection were divided into two groups according to whether they were left nasal and intestine during operation, and 45 patients in each group. The patients in group A received simple gastric tube decompression and intravenous parenteral nutrition In group B, enteral nutrition was administered on the first day after operation in addition to gastric tube placement. The levels of hemoglobin (Hb), plasma albumin (ALB) and prealbumin (PA) in preoperative and postoperative patients were monitored. And transferrin (TF), observed and compared gastrointestinal function recovery and hospital stay. Results The levels of Hb, PA in 7d and 14dB postoperatively were significantly higher than those in A group (P <0.05), and the recovery of gastrointestinal function was earlier and the hospitalization time was shorter. Conclusions The clinical efficacy of enteral nutrition after enteral nutrition in patients with esophageal carcinoma and enteral nutrition during the early postoperative period is superior to the clinical efficacy of enteral nutrition alone with gastric tube decompression in favor of postoperative recovery.