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50例食管癌手术病人随机分成两组 :肠内营养组 ( EN组 ) 2 7例 ;肠外营养组 ( PN组 ) 2 3例。两组自术后第 1d起 ,给予等氮量、等热能的营养支持 ,连续 8d。监测营养过程中体重、血浆蛋白、免疫指标及氮平衡。结果表明 :体重、血浆蛋白变化两组差异不明显。两组术后第 8天达正氮平衡 ,CD4 +和 CD4 +/CD8+比值明显升高 ,NK细胞活性明显增强 ,组间比较 ,也无明显差异。结论 :两种营养方式对食管癌术后营养支持效果均满意。与 PN相比 ,EN具有更符合生理需求、费用低等优点
Fifty patients undergoing esophageal cancer were randomly divided into two groups: 27 in the enteral nutrition group (EN group) and 23 in the parenteral nutrition group (PN group). From the first day after surgery, the two groups were given nutrient support with equal amounts of nitrogen and other heat for 8 days. Monitor body weight, plasma protein, immune parameters, and nitrogen balance during nutrition. The results showed that there was no significant difference in body weight and plasma protein changes between the two groups. Positive balance of nitrogen was reached on the 8th day after surgery, and the ratio of CD4 + and CD4 +/CD8+ increased significantly. The activity of NK cells was significantly increased. There was no significant difference between groups. Conclusion : The two nutritional methods are satisfactory for the nutritional support effect of esophageal cancer after operation. Compared with PN, EN has the advantages of better physiological requirements and lower costs.