胃肠道肿瘤患者术后早期肠内营养与肠外营养支持的对照研究(1)
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[摘要] 目的 对比分析胃肠道肿瘤患者术后早期肠内营养与肠外营养支持的效果。 方法 52例胃肠道肿瘤患者术后根据随机数字表法分为EN组(肠内营养支持)和PN组(肠外营养支持)，比较两组的术后恢复效果以及并发症情况。 结果 EN组术后肛门排气时间、排便时间、住院时间、住院费用明显低于PN组(P < 0.05)。而PN组的血清总蛋白、白蛋白均较术前明显降低，较EN组降低更明显(P < 0.05)。术后出现并发症共16例次，EN组的并发症明显少于PN组(P < 0.05)。 结论 胃肠道肿瘤患者术后早期肠内营养效果优于肠外营养，并发症少、住院时间短、费用低、术后恢复快，值得推广和应用。
[关键词] 胃肠道肿瘤；肠内营养；肠外营养
[中图分类号] R735；R587.1 [文献标识码] B [文章编号] 1673-9701(2012)30-0026-02
Control study of early postoperative enteral nutrition and parenteral nutrition support in patients with gastrointestinal cancer
XU Jinhong WEI Lin LI Min
Department of Nutrition，Lishui Central Hospital in Zhejiang Province，Lishui 323000，China
[Abstract] Objective Comparative analysis of gastrointestinal cancer patients early postoperative enteral nutrition and parenteral nutrition support in effect. Methods A total of 52 cases of gastrointestinal cancer patients after surgery according to the random number table is divided into EN group， enteral nutrition and PN group(parenteral nutrition)， the two groups were compared postoperative recovery effects and complications. Results Postoperative flatus， defecation time， hospital stay， hospital costs were significantly lower in EN group than the PN group(P < 0.05). And the PN group， serum total protein， albumin were significantly lower， and lower than those in EN group(P < 0.05). There were 16 cases of postoperative complications， complications in EN group was significantly less than those in PN group (P < 0.05). Conclusion The gastrointestinal tract tumors in patients with early postoperative enteral nutrition effect is superior to parenteral nutrition， fewer complications ......
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