食管癌术后早期肠内外混合营养价值的临床研究  

The clinical research on value of postoperative early enteral and parenteral mixed nutrition for esophageal carcinoma patients

作　　者：谢家勇[1] 刘胜中[1] 丛伟[1] 薛洋[1] 谭今[1] 王雪海[1] 

机构地区：[1]四川省医学科学院.四川省人民医院心胸外科,四川成都610072

出　　处：《四川医学》2012年第4期613-615,共3页Sichuan Medical Journal

摘　　要：目的研究食管癌术后早期肠内外混合营养的临床价值。方法将580例食管癌手术患者随机分为早期肠内外混合营养组(观察组)和早期全肠外静脉营养组(对照组),通过检测两组术后的营养指标,肛门排气时间及并发症发生率等,对两组营养方式进行比较。结果观察组术后第8天血清前蛋白、清蛋白以及血红蛋白水平均高于对照组,术后体重下降量低于对照组,术后肛门排气时间早于对照组,术后切口感染及肺部感染发生率低于对照组,差异均有统计学意义(P<0.05)。结论食管癌术后早期肠内外混合营养支持能更好保证患者营养,提高免疫能力,减少术后并发症。Objective To research the clinical value of postoperative early enteral and parenteral mixed nutrition for esophageal carcinoma patients.Methods 580 cases of esophageal carcinoma patient undergone surgery were randomly divided into the early enteral and parenteral mixed nutrition group（the research group） and the early total parenteral intravenous nutrition group（the control group）.The postoperative nutrition index,anus exhaust time and complication incidence rate in two groups were compared.Results Compared with the control group,the level of serum preprotein,serum albumin and hemoglobin in the research group at the eight day after surgery were higher,the quantity of weight loss was lesser,the anus exhaust time was earlier,the incidence rate of wound infection and lung infection complications were lower.All the difference were remarkable（P0.05）.Conclusion Postoperative early enteral and parenteral mixed nutrition for esophageal carcinoma patients can provide better nutrition support,improve the immunity,and reduce postoperative complication.

关 键 词：食管癌 早期肠内营养 早期肠内外混合营养 全肠外静脉营养 

分 类 号：R735.1[医药卫生—肿瘤]