早期营养支持在胃癌术后的应用  

Application of early postoperative nutrition support on patients with gastric cancer after surgery

作　　者：张剑[1] 

机构地区：[1]安徽省马鞍山市人民医院普外科,安徽马鞍山243000

出　　处：《安徽医药》2009年第8期939-940,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨胃癌术后早期实施营养支持及其对术后恢复的影响。方法将40例胃癌术后患者按序随机分为全肠外营养组(TPN)15例,PN+肠内营养(EN)组25例,分别于术后24 h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,不良反应TPN组较EN+PN组均差异有显著性(P<0.05)。结论肠内营养具有符合生理、安全、价廉的优点,胃癌患者术后PN应联合应用EN,逐渐过渡TEN,可减少胃肠相关并发症,早期行肠内营养有利于肠功能恢复。但术后正确的护理是确保营养支持有效的重要因素。Aim To investigate the effect of early nutrition support on postoperative recovery of patients with gastric cancer,and to provide the basis for its clinical implementation.Methods Forty patients with gastric cancer after operation were randomly divided into total parenteral nutrition（TPN）group（n=15）and EN ＋ PN group（n=25）.All the patients received nutritional support at 24 h after operation,and gastrointestinal function and side effects such as abdominal distension,diarrhea and vomiting were observed during nutritional support. Results There was statistical difference in anal exsufflation time and adverse reactions between two groups （ P 〈 0.05 ）. Con- clusion Enteral nutrition has physiological, safe,inexpensive, 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, early enteral nutrition （EN）suppor is propitious to bowel function recovery. But the correct nursing is an important factor to ensure nutritional support after operation.

关 键 词：营养支持 肠外营养 肠内营养 

分 类 号：R735.2[医药卫生—肿瘤]