联合使用肠外与肠内营养对胃肠道癌肿术后免疫和营养状况的影响  

Role of Early Enteral Nutrition Support on Postoperative Immunity and Nourishment in Gastroenteric Cancer

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作  者:罗一成 戚林 付义刚 张兴亚[2] 

机构地区:[1]辽宁省营口市中心医院普外科,115001 [2]中国医科大学附属一院普外科,辽宁沈阳111000

出  处:《中国误诊学杂志》2006年第20期3905-3907,共3页Chinese Journal of Misdiagnostics

摘  要:目的:探讨胃肠癌肿术后单独与联合使用肠外营养(PN)与肠内营养(EN)对患者营养和免疫恢复促进作用的可行性与效果比较。方法:选择胃肠道癌肿患者36例,随机分对照组13例、全肠外(TPN)组14例、全肠外(TPN)部-分肠外(PN)部-分肠内(EN)、全肠内(TEN)联合营养支持组(以下简称实验组)9例,观察各项营养评定指标和免疫指标。结果:三组患者术后没发现明显的并发症,实验组和TPN组的数值均比对照组有明显提高,实验组和TPN组的氮平衡均比对照组有明显提高,同期与对照组比较表明,实验组前白蛋白增高明显,差异有显著性(P<0.05),术后第7天实验组IgG、IgM与TPN组相比差异有显著性(P<0.05)。术后第7天CD 3亚群与TPN组相比差异有显著性(P<0.05)。结论:实验组在提高患者的营养状态和免疫指标方面,能起到更有利的效果。并且适合人体正常生理需要,节省费用,易于临床推广。Objective :To sutdy the feasibility and compare the result of parenteral nutrition and early use of enteral nutrition in postoperative patients with gastroenteric cancer. Methods:Thirty six patients were randomied into three groups. 13 patients in the control group were applied with the traditional liquid,14 patients were applied with the TPN, and 9 patients in the study group were applied with PN and EN. The different effects on nitrogen balance ,protein of blood plasma and immunity index sign were observed. Results:No complications in the three groups ,the data of nitrogen balanced that the study group and the TPN group compared the eonrtrol group contain obvious exaltation, and there were signigleant differences in prealbumin,IgG,IgM ,CD3 between group study and TPN (P〈0.05), Conclusions:Early use of enteral nutrition after operation was safe and obvious improvement of nutritional and immunity condition,keeping with human body normal physiology demand,decreased medical cost compared with parenteral nutrition,easily to the clinical expansion.

关 键 词:胃肠肿瘤/外科学 肠道营养 胃肠外营养 营养状况 

分 类 号:R735[医药卫生—肿瘤]

 

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