论文部分内容阅读
目的:探讨比较术后肠内营养(EN)与肠外营养(PN)在胃癌合并营养不良患者中的临床应用效果。方法:抽选2013年1月至2017年6月来宾市人民医院收治的160例合并胃癌合并营养不良患者,按照随机数字表法分为EN组(肠内营养支持)组和PN组(肠外营养支持)组,各80例,分别行相应治疗,检测并对比两组患者营养指标及预后情况。结果:EN组治疗后的血清前白蛋白(PA)、转铁蛋白(TRF)、血红素结合蛋白(HPX)及结合珠蛋白(HPT)四项营养指标较治疗前有明显改善,且改善效果优于PN组;EN组肛门排气时间及住院时间均明显短于对照组,且并发症发生率显著低于PN组,营养指标及预后指标组间比较,差异具有统计学意义(P<0.05)。结论:与肠外营养相比,肠内营养对胃癌患者术后营养状况改善更加明显,可缩短住院时间、降低并发症风险,应当作为胃癌合并营养不良患者术后早期营养支持的首选方法。
Objective: To investigate the clinical effect of comparing postoperative enteral nutrition (EN) and parenteral nutrition (PN) in patients with gastric cancer complicated with malnutrition. Methods: A total of 160 patients with gastric cancer with malnutrition admitted from Laibin Municipal People’s Hospital from January 2013 to June 2017 were randomly divided into EN group (enteral nutrition group) and PN group Nutritional support) group, each of 80 cases, respectively, corresponding treatment, detection and comparison of two groups of patients with nutritional indicators and prognosis. Results: The four nutritional indexes of serum prealbumin (PA), transferrin (TRF), heme-binding protein (HPX) and haptoglobin (HPT) in EN group were significantly improved after treatment, Which was better than PN group. The time of anal exhaust and hospital stay in EN group were significantly shorter than those in control group, and the complication rate was significantly lower than that of PN group. The difference was statistically significant (P <0.05 ). Conclusion: Compared with parenteral nutrition, enteral nutrition improves the postoperative nutritional status of patients with gastric cancer, which can shorten the length of hospital stay and reduce the risk of complications. It should be considered as the first choice of early nutritional support for patients with gastric cancer complicated with malnutrition.