食管癌患者术后早期肠内营养对术后近期生存质量的影响  

Effects of early enteral nutrition on short-term quality of life in patients with esophageal carcinoma after operation

作　　者：何吉[1] 尤振兵[1] 田文泽[1] 郑欣[1] 

机构地区：[1]南京医科大学附属淮安第一医院胸外科,223300

出　　处：《中华全科医师杂志》2014年第9期780-782,共3页Chinese Journal of General Practitioners

摘　　要：对我院行食管癌手术的62例患者随机分为两组，术后早期分别行肠内、外营养，其中32例为肠内营养组、30例为肠外营养组。肠内营养组的术后并发症发生率、首次排气时间、拔管时间、住院时间及住院费用均显著低于肠外营养组（均P〈0．05）。术后2周采用欧洲癌症研究和治疗组织编制的生存质量问卷进行评分，其中肠内营养组的总体健康状况得分高于肠外营养组，疲劳、恶心呕吐、失眠、食欲下降、便秘和经济困难6项症状评分低于肠外营养组（均P〈0．05）。提示食管癌术后早期肠内营养可以提高患者的近期生存质量。A total of 62 patients with radical operation of esophageal carcinoma were divided into all-in-one nursing intervention group （research, n = 32） and routine nursing group （ control, n = 30）. With regards to postoperative flatus time, removal of chest tube drainage time, postoperative hospital stay and hospital costs, the research group was lower than the control group （P 〈 0.05）. After 2 weeks, from the postoperative quality of life questionnaire with the European Organization for Research and Treatment of Cancer, the scores of overall health of enteral nutrition group were higher than those of parenteral nutrition group while the symptom scores of fatigue, nausea ＆ vomiting, insomnia, decreased appetite, constipation and economic difficulties were less than parenteral nutrition group （ P 〈 0.05 ）. Early postoperative enteral nutrition can improve the quality of life in patients with esophageal cancer.

关 键 词：食管肿瘤 生活质量 

分 类 号：R735.1[医药卫生—肿瘤]