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作 者:李威[1] 夏涛[1] 甘涛[1] 罗运生[1] 杨颢[1]
机构地区:[1]广西科技大学附属柳州市人民医院胃肠外科,柳州市545006
出 处:《广西医学》2015年第5期637-639,共3页Guangxi Medical Journal
基 金:广西医药卫生科研课题(Z2013646)
摘 要:目的探讨胃癌根治术后早期行肠内营养对患者快速康复的效果。方法 80例接受胃癌根治术患者按随机数字表法分为肠内营养组(术后8 h开始肠内营养)和肠外营养组(术后立刻开始肠外营养),各40例。对比两组患者康复相关指标:心电监护时间、术后肛门首次排气时间、进流食时间、术后住院时间和营养相关指标。结果肠内营养组患者术后肛门首次排气时间、进食流食时间和术后住院时间均显著优于肠外营养组(P<0.05);肠内营养组患者术后7 d白蛋白和前白蛋白水平均显著高于肠外营养组(P<0.05)。结论早期肠内营养有利于胃癌根治术患者胃肠功能的恢复和营养的有效吸收,有利于患者的快速康复。Objective To investigate the effect of early postoperative enteral nutrition on the rapid recovery of gastric carcinoma patients following radical operation.Methods Eighty gastric carcinoma patients who had undergone radical operation were randomly divided into enteral nutrition group which was given enteral nutrition 8 hours after operation and parenteral nutrition group which was given parenteral nutrition immediately after operation,with 40 cases in each group.A comparative analysis on the relative rehabilitative indexes of the patients, including ECG monitoring duration,the first anal exhaust time after operation,eating liquid food time,postoperative hospital stay and nutri-tion-related indexes,were compared between two groups.Results The first anal exhaust time,eating liquid food time and hospital stay after operation in the enteral nutrition group were significantly superior to those in the parenteral nutrition group(P〈0.05).The levels of albumin and prealbumin 7 days after operation in the enteral nutrition group were significantly higher than those in the parenteral nutrition group (P〈0.05).Conclusion Early enteral nutrition is beneficial to the gastrointestinal function recovery and nutrition absorption in gastric car-cinoma patients,which is conducive to the rapid recovery of the patients.
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