贲门癌、食管癌术后早期肠内营养应用的体会  

The Application of Early Enteral Nutrition Treatment in Postoperative Patients with Esophageal or Cardiac Cancer

作　　者：魏祥志 张科[1] 汪永和[1] 岳庆峰[1] 

机构地区：[1]合肥市第三人民医院胸外科,安徽合肥230022

出　　处：《中国现代医生》2011年第31期139-141,共3页China Modern Doctor

摘　　要：目的探讨早期肠内营养(enteral nutrition,EN)在贲门癌、食管癌患者术后的实施方法与临床效果。方法对132例贲门癌、食管癌患者在术中经鼻留置营养管,术后经鼻肠管给予EN治疗;对照组30例患者未进行肠内营养。结果所有贲门癌、食管癌患者术中均顺利留置鼻十二指肠营养管,行肠内营养的患者吻合口瘘、肺部感染、切口感染、术后胃排空障碍等并发症的发生率较对照组明显减少,术后肛门排气和排便时间也明显缩短。结论贲门癌、食管癌患者术后应用EN,能保护胃肠道黏膜屏障功能,促进胃肠功能恢复,提高机体免疫功能,增强抗感染能力,改善营养,减少费用,减少并发症的发生率,提高手术成功率,增强康复信心,是患者术后简便、安全、有效的营养补给法。Objective To study the implementation method and clinical effect of early enteral nutrition in postoperative patients with esophageal or cardiac cancer. Methods Nutrient canals were given through the nasal-intestinal tube in 132 cases with esophageal or cardiac cancer after operation. Control group of 30 patients were treated without enteral nutrition. Results The complications such as anastomotic leakage, lung infection, incisional infection and postoperative gastric emptying in the patients receiving early enteral nutrition were significantly reduced compared with the control group. The time for bowel function recovery was much shorter. Conclusion Early enteral nutrition can protect the gastrointestinal mueosa barrier, promote the recovery of gastrointestinal function, enhance immune function, increase anti-infection ability, improve nutrition, reduce costs, decrease the occurrence of complications, raise the successful rate of operation, enhance the confidence of rehabilitation, is simple, safe and effective nutrition supply method after surgery.

关 键 词：贲门癌 食管癌 十二指肠营养管 肠内营养 

分 类 号：R735[医药卫生—肿瘤]