贲门或食管癌病人术后早期序贯肠内营养支持的应用  

The early sequential enteral nutrition support after surgery of cardiac and esophagus cancer

作　　者：周翔[1] 陈中元[1] 邱维诚[1] 车嘉铭[1] 任健[1] 杨孝清[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院心胸外科,上海200025

出　　处：《肠外与肠内营养》2007年第6期347-349,共3页Parenteral & Enteral Nutrition

摘　　要：目的:观察贲门或食管癌病人术后早期序贯肠内营养(ESEN)支持的临床效果。方法:将102例贲门或食管癌病人,随机分为ESEN组55例和常规肠内营养(EN)组47例。比较两组病人营养支持前后的营养状况和生化指标。结果:两组病人的血清总蛋白、清蛋白和前清蛋白在营养支持后均显著升高,ESEN组的前清蛋白升高较EN组更为显著(P<0.05)。结论:ESEN支持与常规EN相比,可能更适合病人术后胃肠道功能的恢复。Objective： To observe the effect of early sequential enteral nutrition after the operation of cardiac and esophagus cancer. Methods ： From Jan to Dec 2006, the enteral nutrition was given in 102 cases of cardiac or esophagus cancer postoperatively. In these cases, the early sequential enteral nutrition （ESEN, n = 55 ） and routine enteral nutrition （EN, n = 47 ） were applied randomly. The nutrition and bio-chemical parameters were compared before and after nutrition support. Results： The serum albu- min, total protein and pre-albumin were significantly increased after enteral nutrition in both groups, while pre-albumin was increased more in ESEN group than that in EN group （ P 〈 0. 05 ）. Conclusion ： The early sequential enteral nutrition may be more beneficial to the recovery of patients after surgery than the routine enteral nutrition.

关 键 词：早期序贯肠内营养 贲门癌 食管癌 

分 类 号：R735[医药卫生—肿瘤]