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[目的]探讨术后早期肠内营养和全肠外营养应用在老年胃癌胃切除术患者中的应用效果对比。[方法]将104例老年胃癌行胃切除手术患者采用随机数字表法分为观察组与对照组,对照组给予全肠外营养,观察组给予早期肠内营养,记录治疗效果。[结果]观察组术后肛门排气时间(38.21±3.89)h,排便时间(44.98±4.02)h,住院时间(16.35±3.16)d;对照组术后肛门排气时间(52.98±5.66)h,排便时间(66.72±6.87)h,住院时间(21.03±5.47)d,组间对比差异有统计学意义(P<0.05)。观察组发生腹胀2例,腹泻1例,肺部感染3例,深静脉导管感染2例;对照组发生腹胀8例,腹泻10例,肺部感染11例,深静脉导管感染10例,组间比较差异有统计学意义(P<0.05)。观察组治疗后总蛋白浓度(59.54±6.82)g/L,血清白蛋白(36.98±5.99)g/L;对照组治疗后总蛋白浓度(53.74±5.13)g/L,血清白蛋白(33.12±4.31)g/L,组间比较差异有统计学意义(P<0.05)。[结论]早期肠内营养应用在老年胃癌胃切除手术患者中可以缩短住院时间和术后胃肠功能恢复时间,改善患者营养状况,减少手术并发症发生,值得在临床上推广应用。
[Objective] To compare the effect of early postoperative enteral nutrition and total parenteral nutrition in the treatment of elderly patients with gastric cancer undergoing gastrectomy. [Methods] 104 cases of elderly patients with gastric cancer undergone gastrectomy were divided into observation group and control group by random number table. The control group was given parenteral nutrition. The observation group was given early enteral nutrition and the therapeutic effect was recorded. [Results] The anal exhaust time (38.21 ± 3.89) h, defecation time (44.98 ± 4.02) h and hospital stay (16.35 ± 3.16) days in the observation group were significantly lower than those in the control group (52.98 ± 5.66) h , Defecation time (66.72 ± 6.87) h and hospitalization time (21.03 ± 5.47) d respectively. The difference between the two groups was statistically significant (P <0.05). 2 cases of abdominal distension, 1 case of diarrhea, 3 cases of pulmonary infection and 2 cases of deep vein catheter infection were observed in the observation group. There were 8 cases of abdominal distension, 10 cases of diarrhea, 11 cases of pulmonary infection and 10 cases of deep vein catheter infection in the control group. The difference was statistically significant (P <0.05). The total protein concentration (59.54 ± 6.82) g / L and serum albumin (36.98 ± 5.99) g / L in the observation group after treatment were 53.74 ± 5.13 g / L and 33.12 ± 4.31) g / L, the difference between the two groups was statistically significant (P <0.05). [Conclusion] The application of early enteral nutrition in gastrectomy for elderly patients with gastric cancer can shorten the length of hospital stay and postoperative gastrointestinal function recovery time, improve the nutritional status of patients and reduce the incidence of complications, which is worth popularizing in clinic.