胃癌术后早期肠内营养支持及其对术后恢复的影响  

Effect of Early Postoperative Enteral Nutrition Support on Recovery of Patients with Gastric Cancer after Surgery

作　　者：杨新辉[1] 刘跃晖[1] 孔平[1] 

机构地区：[1]解放军第163医院,湖南长沙410003

出　　处：《医学临床研究》2008年第4期643-644,共2页Journal of Clinical Research

摘　　要：【目的】探讨胃癌术后早期实施肠内营养(EN)支持及其对术后恢复的影响。【方法】将71例胃癌术后按序随机分为全肠内营养组(TEN)35例,EN+肠外营养(PN)组36例,分别于术后24h后于营养支持,观察营养支持期间胃肠功能恢复情况,有无腹胀、腹泻、呕吐等不良反应。【结果】肛门恢复排气时间TNE组较EN+PN组无统计学差异,不良反应TNE高龄患者(年龄>60岁)较EN+PN高龄患者多(P<0.05),但TEN组非高龄患者与EN+PN组非高龄患者比较无显著性差异(P>0.05)。【结论】高龄胃癌患者术后EN应联合应用PN,逐渐过渡TEN,可减少胃肠相关并发症,合理有效的护理措施,有利于胃癌术后的恢复。[Objective] To investigate the effect of early enteral nutrition （EN） support on postoperative recovery of patients with gastric cancer, and to provide the basis for its clinical implementation. [Methods] Seventy one patients with gastric cancer after operation were randomly divided into total enteral nutrition （TEN） group （ n=35） and EN ＋ parenteral nutrition （PN） group （ n =36）. All the patients received nutritional support at 24h after operation, and gastrointestinal function and side effects such as abdominal distension,diarrhea and vomiting were observed during nutritional support. [Results]There was no statistical difference in anal exsufflation time between two groups. Adverse reactions of senile patients in total enteral nutrition group were more than those of senile patients in EN ＋ PN group （ P 〈 0. 05）, but there was no significant difference between non-senile patients in two groups （ P 〉 0. 05）. [Conclusion]Senile patients with gastric cancer after operation should receive enteral nutrition support in combination with parenteral nutrition, and then gradually receive total enteral nutrition in order to reduce gastrointestinal complications. And reasonable and effective nursing intervention will be benefit for postoperative recovery of patients with gastric cancer.

关 键 词：肠道营养 手术后期间 胃肿瘤/外科学 

分 类 号：R735.2[医药卫生—肿瘤]