补充性肠外营养在全胃切除术后应用的必要性研究  

Necessity of supplementary parenteral nutrition after total gastrectomy

作　　者：陶凯[1] 董剑宏[1] 

机构地区：[1]山西省肿瘤医院山西医科大学附属肿瘤医院消化外科微创中心,太原030013

出　　处：《中国药物与临床》2017年第12期1746-1748,共3页Chinese Remedies & Clinics

基　　金：山西省科技厅攻关项目(20150313007-7)

摘　　要：目的探索全胃切除术后营养支持的最佳模式。方法对全胃切除术后患者随机进行肠内序贯营养(PN+EN)、早期肠内营养(TEN)、全肠外营养(TPN)方案营养支持,对比3组患者术后营养指标和并发症等。结果 PN+EN患者营养指标恢复较好;TPN组患者费用高且术后对肝功能影响较大;TEN组发生腹痛、腹胀、一过性肠梗阻的并发症高于其余2组。结论恰当的PN+EN治疗是全胃切除术后患者最佳营养治疗方案。Objective To explore for the optimal modality of nutritional support after total gastrectomy. Methods Following total gastrectomy, the patients were randomized to receive different nutritional support regimens： se-quential parenteral and enteral nutritional（PN ＋EN）, early total enteral nutrition（TEN） and total parenteral nutrition（TPN）. The nutritional indices and complications in the three groups were compared. Results The patients on PN＋EN showed better nutritional indices. The patients on TPN suffered higher medical cost and greater impairment of liv-er function. Those on TEN experienced more complications including abdominal pain, distension, and transient bowel obstruction compared with the other two groups. Conclusion Proper use of PN＋EN may be the optimal nutritional therapy for patients after total gastrectomy.

关 键 词：胃切除术 胃肠外营养 康复 

分 类 号：R459.3[医药卫生—治疗学]