胃癌术后早期肠内营养的应用及耐受性研究  

Application and Tolerance Analysis of Early Postoperative Enteral Nutrition in Patients with Gastric Cancer

作　　者：查建华[1] 顾新华[1] 袁政[1] 沈韧斌[1] 许伯平[1] 谭纪伏[1] 

机构地区：[1]南京医科大学附属苏州医院,苏州市立医院本部胃肠外科,江苏苏州215002

出　　处：《中国血液流变学杂志》2015年第2期189-190,240,共3页Chinese Journal of Hemorheology

摘　　要：目的探讨胃癌根治术后早期肠内营养（EN）的应用方法及影响耐受性的因素。方法选取2013年1月-2015年1月行胃癌根治术患者58例，观察术后早期EN的实施及耐受性情况，并分析其与年龄、EN开始时白蛋白水平、CRP值、肿瘤分期、手术方式等因素的关系。结果58例胃癌术后行早期EN患者中可耐受（良好、一般）为49例（84．48％）。其中患者年龄、C反应蛋白水平、肿瘤分期与耐受性的关系经统计学分析差异无统计学意义（P〉0．05），而EN开始时白蛋白水平、手术方式则显示差异有统计学意义（P〈0．05）。结论胃癌术后营养状况、手术方式对早期EN的耐受可能存在一定的影响，术后早期EN应遵循序贯、渐进的方式逐步进行。Objective To discuss the implementation strategy and the factors related to tolerance of early postoperative enteral nutrition （EN） in patients with gastric cancer. Methods A total of 58 cases with gastric cancer who received early postoperative EN were analyzed from January 2013 to January 2015. Its relationships to age, CRP, albumin, tumor staging and operation methods were observed. Results Among the 58 cases, 49 （84.48%） cases could tolerate EN. By statistical analysis, we found no differences among the factors of age, CRP level and tumor staging （P 〉 0.05）. Meanwhile, the differences of tolerance showed significantly in albumin level and operation methods （P 〈 0.05）. Conclusion The postoperative nutritional status and the operation methods may have effect on patient tolerance to EN in gastric cancer, the early postoperative EN should be used sequentially and gradually.

关 键 词：胃癌 术后 肠内营养 耐受性 

分 类 号：R735.2[医药卫生—肿瘤] R730.56[医药卫生—临床医学]