胃肠道肿瘤患者术后早期肠内营养支持的疗效观察

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[目的]探讨胃肠道肿瘤患者术后早期肠内营养支持的临床疗效。[方法]选择某院2009年6月~2010年9月期间收治的胃肠道肿瘤手术患者98例,随机将患者分为观察组和对照组,每组49例。两组患者经手术治疗后,对照组患者行肠外营养支持等治疗,而观察组患者则给予早期肠内营养支持治疗,并对两组患者的临床治疗效果等相关指标进行对比分析。[结果]与对照组患者相比,观察组患者的血浆前白蛋白和血浆视黄醇结合蛋白均显著增高,差异均具有统计学意义(P﹤0.05);观察组患者的肛门排气时间和胃排空恢复时间以及住院时间均显著减少,差异均具有统计学意义(P﹤0.05);观察组患者并发症的发生比率显著降低,而未发生并发症的比率则显著提高,差异均具有统计学意义(P﹤0.05)。[结论]早期肠内营养支持在胃肠道肿瘤患者术后中的应用,其疗效确切效果显著,对于改善患者的营养状况和减少并发症的发生具有极其重要的临床价值。 [Objective] To investigate the clinical efficacy of early enteral nutrition support in patients with gastrointestinal cancer. [Method] A total of 98 patients with gastrointestinal cancer treated in our hospital from June 2009 to September 2010 were randomly divided into observation group and control group, with 49 cases in each group. After surgery, the patients in the control group underwent parenteral nutrition support, while the patients in the observation group received early enteral nutrition support. The clinical therapeutic effects and other related indicators of the two groups were compared. [Results] Compared with the control group, plasma prealbumin and plasma retinol binding protein were significantly increased in the observation group (all P <0.05), and the anal exhaust time and Gastric emptying recovery time and hospitalization time were significantly decreased, the differences were statistically significant (P <0.05); the incidence of complications in the observation group was significantly reduced, while the rate of non-complications was significantly increased, the difference was statistically significant Significance (P <0.05). [Conclusion] The application of early enteral nutrition support in postoperative patients with gastrointestinal cancer has significant curative effect. It has extremely important clinical value for improving the nutritional status of patients and reducing the incidence of complications.
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