论文部分内容阅读
目的探讨食管、贲门癌术后早期应用肠内营养(EN)的可行性、安全性和临床效果,并与肠外营养(PN)进行比较。方法将行食管、贲门癌切除的86例患者随机分为EN组与PN组各43例,分别于术后24 h开始进行EN与PN,比较两组术后肠蠕动恢复时间、术后10 d体重与术前1 d体重下降差值及营养支持费用。结果两组在观察期间均无死亡及严重并发症发生,EN组肠蠕动恢复时间较PN组显著缩短,术后体重较PN组有明显改善,且营养支持费用显著低于PN组(P<0.05,P<0.01)。结论食管、贲门癌术后早期应用EN支持安全、可行,不仅有助于肠道功能恢复,改善机体营养状态,降低并发症,而且能减少医疗费用。
Objective To investigate the feasibility, safety and clinical efficacy of early postoperative enteral nutrition (EN) after esophageal and cardiac cardiac surgery and to compare with parenteral nutrition (PN). Methods 86 patients with esophageal or gastric cardia resection were randomly divided into EN group and PN group, 43 cases were enrolled. EN and PN respectively started 24 hours after operation. The recovery time of intestinal peristalsis was compared between the two groups after operation 10 days Weight and preoperative 1 d weight loss and nutritional support differences. Results There was no death or severe complications during the observation period in both groups. The recovery time of bowel movement in EN group was significantly shorter than that in PN group. The postoperative body weight was significantly improved compared with PN group, and the nutritional support cost was significantly lower than that in PN group (P <0.05 , P <0.01). Conclusions The early application of EN after esophagectomy and cardia cancer surgery is safe and feasible. It not only helps the recovery of intestinal function, improves the nutrition status of the body, reduces the complications, but also reduces the medical expenses.