术前肠内营养对胃底贲门癌病人术后康复的影响  

Influence of preoperative enteral nutrition on postoperative rehabilitation in patients with gastric cardia cancer

作　　者：龙谷仔[1] 李观华[1] 贺长春[1] 

机构地区：[1]井冈山大学附属医院普外科,江西吉安343000

出　　处：《临床医学》2011年第12期22-23,共2页Clinical Medicine

摘　　要：目的研究术前肠内营养对胃底贲门癌病人术后康复的影响。方法回顾性研究2008年1月至2010年12月井冈山大学附属医院62例胃底贲门癌病人的临床资料,将62例胃底贲门癌病人随机分为两组,其中对照组31例,术后早期行肠内营养;治疗组31例,术前开始口服能全力,术后治疗同对照组。所有病人均于术前第1天及术后第7天测量体质量,静脉采血检测血清白蛋白和血红蛋白含量,并观察切口愈合情况。结果两组病人术后均有免疫功能降低,对照组2例出现切口液化感染,治疗组无切口液化感染,体质量减轻比率治疗组小于对照组,血清白蛋白和血红蛋白含量治疗组明显优于对照组。结论术前肠内营养能明显改善胃底贲门癌病人术后的营养状况,有利于病人术后康复。Objective To study the influence of preoperative enteral nutrition on postoperative rehabilitation in patients with gastric cardia cancer.Methods The clinical datas of 62 cases of gastric cardia cancer patient in affiliated hospital of jinggangshan university from January 2008 to December 2010 were retrospectively.All the patients were randomly divided into two groups,Each group included 32 patients.In the control group,patients received only early postoperative enteral nutrition.In the treatment group,patients were given enteral nutrition support before operation,postoperative treatment was the same as the control group.The body weight hemoglobin and serum albumin were measured on the day before operation and the seventh day after operation,and to observe the wound healing.Results The immune function of patients in the two groups were reduced.Two patients had wound infected and liquefacted.There were no infection or liquefaction in the treatment group.Weight loss rate of the treatment group were significantly less than the control group.Serum albumin and hemoglobin levels were significantly higher than that in control group.Conclusion Preoperative enteral nutrition can significantly improve the nutritional status of the gastric cardia cancer patients after operation,conductive to postoperative recovery.

关 键 词：术前肠内营养 胃底贲门癌 术后康复 

分 类 号：R735.2[医药卫生—肿瘤]