贲门癌术后肠外营养支持的临床观察  

Clinical observation on the effect of parenteral nutrition in postoperative esophageal carcinoma patients

作　　者：江生[1] 蓝斌[1] 林有光[1] 罗友雄[1] 李木泉[1] 陈恕[1] 

机构地区：[1]汕头市中心医院心胸外科,广东汕头515031

出　　处：《肠外与肠内营养》2004年第3期155-157,共3页Parenteral & Enteral Nutrition

摘　　要：目的 :观察肠外营养 (PN)对贲门癌术后病人的疗效。　方法 :将 86例病人随机分为两组 ,即对照组 4 2例 ,用常规补液 ;PN组 4 4例 ,用PN治疗。　结果 :①PN可提高病人体力状况 ,减少体重下降幅度 ,降低白细胞数升高幅度 ,降低红细胞数、血红蛋白以及血清清蛋白下降幅度 ,与对照组比较差异显著 (P <0 .0 1 ) ;②PN组的病人吻合口瘘的发生率为 0 ,肺部感染发生率为 4 .5 5 % ,胸腔积液发生率为 4 .5 5 % ,切口愈合不良发生率为 0 ;对照组吻合口瘘的发生率为 7.1 4 % ,肺部感染发生率为 2 8.5 7% ,胸腔积液发生率为 1 9.0 5 % ,切口愈合不良发生率为 7.1 4 % ,两组比较差异显著 (P <0 .0 1 )。　结论 :贲门癌术后PN治疗可明显降低吻合口瘘及肺部感染等术后并发症 。Objective: To observe the effect of parenteral nutrition(PN) on postoperative esophageal carcinoma patients. Methods: 86 patients were randomly divided into 2 groups,one as PN group and the other as contrast. Results: ①PN could improve body activity status,lessen the losses of body weight,red blood cells,hemoglobin and serum albumin, and decrease the raise of white blood cells.There was a significant difference between the two groups, P <0.01;②The rates of anastomatic,pulmonary infection,thoracicpleural effesion and incision healing badness were 0,4.55%,4.55% and 0 in PN group ,while they were 7.14%, 28.57%, 19.05% and 7.14% in control group. There was a significant difference between groups, P <0.01. Conclusions: PN can significantly lessen the occurrence of anastomatic fistula ,pulmonary infection and other postoperative complications in esophageal carcinoma patients.

关 键 词：贲门癌 手术 肿瘤 肠外营养 营养支持 PN 

分 类 号：R735.2[医药卫生—肿瘤]