食管癌手术后肠内营养与肠外营养对肝、肾功能及胃肠功能影响的研究  

Study on the Effects of Enteral Nutrition and Parenteral Nutrition After Operation of Esophageal Carcinoma on Hepatorenal Function and Gastrointestinal Function

作　　者：杨家恒[1] 黄代鸿[1] 

机构地区：[1]中山市中医院心胸外科,广东中山528400

出　　处：《临床医学工程》2015年第11期1441-1442,1445,共3页Clinical Medicine & Engineering

摘　　要：目的探讨食管癌患者在手术后分别应用肠外营养与肠内营养对肝肾功能和胃肠功能的影响。方法选取我院2013年3月至2015年3月接受食管癌手术患者86例为研究对象,以采用肠内营养患者43例为A组,实施肠外营养患者43例为B组,观察两组患者术后肝肾功能变化情况、术后胃肠功能恢复情况及并发症发生情况。结果两组患者术后1 d ALT、AST、TB、BUN及Scr等肝、肾功能指标情况无明显差异(P>0.05),均存在一定异常;术后7 d均有改善,A组上述指标水平明显优于B组,差异有统计学意义(P<0.05)。A组术后首次肛门排气、肠鸣音恢复及首次排便时间显著短于B组,差异有统计学意义(P<0.05)。A组术后并发症发生率为4.65%,显著低于B组的20.93%,差异有统计学意义(P<0.05)。结论对于食管癌患者,术后给予肠内营养支持,能有效改善肝肾功能和胃肠功能,促进术后恢复,降低并发症发生率,值得推广。Objective To explore the impact of enteral nutrition and parenteral nutrition after operation of esophageal carcinoma on hepatorenal function and gastrointestinal function . Methods 86 patients with operation of esophageal carcinoma admitted to our hospital from March 2013 to March 2015 were selected as research objects. After surgery, 43 cases of enteral nutrition were set as group A, and 43 cases of parenteral nutrition were set as group B. The change of hepatorenal function, recovery of gastrointestinal function and incidence of complications after operation were observed. Results One day after operation, hepatorenal function indicators including ALT, AST, TB, BUN and Scr of both groups had no statistically significant change （P〉0.05）;7 days after operation, all the indicators improved, and group A was superior to group B （P〈0.05）. The first time of anus exhaust, time of intestinal sound recovery and first defecation time after operation in group A were significantly shorter than those in group B （P〈0.05）. The incidence of postoperative complications was 4.65%in group A, significantly lower than 20.93%in group B （P〈0.05）. Conclusions For patients with esophageal carcinoma, postoperative enteral nutrition can effectively improve hepatorenal function and gastrointestinal function, improve postoperative recovery, and reduce the incidence of complications, which is worthy of application.

关 键 词：食管癌 营养方式 肝肾功能 胃肠功能 

分 类 号：R735.1[医药卫生—肿瘤]