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目的:探讨术后早期肠外联合肠内营养对老年进展期胃癌临床早期预后的影响。方法:选择106例老年进展期胃癌患者,随机分为观察组56例和对照组50例,术后分别给予肠外联合肠内营养和肠外营养支持,观察2组患者术前术后C反应蛋白、血清清蛋白(ALB)、前白蛋白和血红蛋白(Hb)、肛门排气时间、并发症、住院时间及疲劳指数。结果:观察组在术后CRP水平下降优于对照组(P<0.05),观察组肛门排气时间、并发症、住院时间及疲劳指数均优于对照组(P<0.05),但术后血清清蛋白(ALB)、前白蛋白和血红蛋白(Hb)比较无明显差异。结论:术后早期肠外联合肠内营养减轻老年进展期胃癌患者术后的应激反应,减少并发症,促进恢复,改善早期预后。
Objective: To investigate the effect of early postoperative parenteral combined enteral nutrition on clinical early prognosis of advanced gastric cancer. Methods: A total of 106 elderly patients with advanced gastric cancer were enrolled and randomly divided into observation group (56 cases) and control group (50 cases). Postoperative patients were given parenteral enteral nutrition and parenteral nutrition support respectively. The postoperative C-response Protein, serum albumin (ALB), prealbumin and hemoglobin (Hb), anal exhaust time, complications, hospital stay and fatigue index. Results: The CRP level in the observation group was significantly lower than that in the control group (P <0.05). The anal exhaust time, complications, hospital stay and fatigue index in the observation group were better than those in the control group (P <0.05) Albumin (ALB), prealbumin and hemoglobin (Hb) no significant difference. Conclusion: Early postoperative parenteral nutrition and enteral nutrition can relieve the postoperative stress response in elderly patients with advanced gastric cancer, reduce complications, promote recovery and improve early prognosis.