术前肠内营养作为肠道准备方式对老年大肠癌术后早期康复的观察  

Preoperative enteral nutrition as an approach of bowel preparation for early postoperative rehabilitation of elderly patients with colorectal cancer

作　　者：陆路[1] 唐武[1] 丁玉杰 吴辉 曾育杰[2] 褚忠华[2] LU Lu;TANG Wu;DING Yujie;WU Hui;ZENG Yujie;CHU Zhonghua(Deoartment of General Surgery,the Twelfth Hospital of Guangzhou,Guangzhou,510260;Department of Gastroenterology,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510289,China)

机构地区：[1]广州市第十二人民医院普外科,广州510620 [2]中山大学孙逸仙纪念医院胃肠外科,广州510289

出　　处：《岭南现代临床外科》2018年第3期280-282,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨采用肠内营养作为肠道准备对老年大肠癌术后早期康复的影响。方法回顾性分析56例老年结直肠癌患者的临床资料,按照术前肠道准备的不同分为肠内营养组和对照组。肠内营养组术前口服肠内营养混悬液,对照组则采用传统治疗方法(普通流质食物),观察比较两组疗效及术后并发症。结果两组手术时间、总住院时间等相关指标接近,均未发现吻合口漏及腹腔感染等严重并发症。肠内营养组患者术中肠道清洁度及术后营养指标均优于对照组,差异有统计学意义(P<0.05),两组患者肠道准备期间不良反应无显著差异。结论老年结直肠癌患者肠道术前准备使用肠内营养安全可行,避免传统方法的缺点,且为手术期效果良好。Objective To explore the preoperative application of enteral nutrition as intestinalpreparation of perioperative period in elderly with colorectal cancer under the concept of enhancedrecovery after surgery（ERAS）. Methods The clinical data of 56 elderly patients with colorectal cancerwere retrospectively analyzed. The patients were divided into enteral nutrition group and control groupaccording to different preoperative bowel preparation. In the enteral nutrition group,an oral enteralnutrient suspension were administered preoperatively,while traditional treatment methods were used inthe control group. The efficacy and postoperative complications were observed and compared. Results The related indicators such as the operation time and total length of hospital stay were similar in the twogroups,and no serious complications such as anastomotic leak and abdominal infection were found. Theintestinal cleanliness and postoperative nutritional indicators in the enteral nutrition group were betterthan those in the control group（P〈0.05）. There was no significant difference in adverse reactions duringbowel preparation between these two groups. Conclusion Preoperative preparation by using enteralnutrition in elderly patients with colorectal cancer is safe and feasible,and avoids the shortcomings oftraditional methods,and is good for the perioperation period.

关 键 词：结直肠癌 肠内营养 加速康复外科 

分 类 号：R735.3[医药卫生—肿瘤]