胃癌根治术后早期肠内肠外联合营养支持的临床应用(1)
【摘要】 目的：探討胃癌患者术后行早期肠内联合肠外营养支持治疗在临床的应用。方法：选取2015年7月-2017年7月期间，在本院确诊且行手术切除的胃癌患者30例，按照随机数字表法将其分为试验组和对照组，试验组采用早期肠内联合肠外营养支持，对照组采用全肠外营养支持，分析两组临床指标、术后指标以及并发症发生率。结果：两组的ALB、TP、IgM水平比较，差异均无统计学意义(P>0.05)；试验组的IgA和IgG水平明显高于对照组，且CRP水平明显低于TPN对照组，差异均有统计学意义(P<0.05)。试验组术后排气时间和住院时间明显短于TPN对照组，营养支持费用明显低于对照组，差异均有统计学意义(P<0.05)。试验组并发症发生率为26.7%(4/15)，明显低于对照组的46.7%(7/15)，差异有统计学意义(字2=3.120，P<0.001)。结论：胃癌患者术后早期肠内营养联合肠外营养支持疗法能够快速有效地改善患者营养状况、增强免疫力、减少术后并发症和不良反应的发生率。
【关键词】 胃癌； 早期肠内营养； 全肠外营养； 营养不良； 免疫屏障
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Clinical Application of Early Enteral Combined with Parenteral Nutrition Support after Radical Gastrectomy for Gastric Cancer/ZHOU Yibing.//Medical Innovation of China，2018，15(12)：038-041
【Abstract】 Objective：To explore clinical application of early enteral combined with parenteral nutrition support in patients with gastric cancer after operation.Method：A total of 30 patients with gastric cancer diagnosed and surgically resected in our hospital from July 2015 to July 2017 were selected.According to the random number table method，they were divided into experimental group and control group.The experimental group was treated with early enteral combined with parenteral nutrition support，the control group was treated with total parenteral nutrition.The clinical indexes，postoperative indexes and incidence of complications were analyzed in two groups.Result：There were no significant differences in the levels of ALB，TP and IgM between the experimental group and the control group(P>0.05).The levels of IgA and IgG in the experimental group were significantly higher than those in the control group，the level of CRP was significantly lower than that of the control group，the differences were statistically significant(P<0.05).The postoperative exhaust time and hospital stay time in the experimental group were significantly shorter than those in the control group，the nutritional support cost was significantly lower than that in the control group，the differences were statistically significant (P<0.05).The incidence of complications in the experimental group was 26.7%(4/15)，which was significantly lower than 46.7%(7/15)in the control group，the difference was statistically significant(字2=3.120，P<0.001).Conclusion：The early enteral nutrition combined with parenteral nutrition support therapy in patients with gastric cancer after operation can rapidly and effectively improve the nutrition status，enhance immunity and reduce the incidence of postoperative complications and adverse reactions., http://www.100md.com(周轶冰)
【关键词】 胃癌； 早期肠内营养； 全肠外营养； 营养不良； 免疫屏障
, http://www.100md.com
Clinical Application of Early Enteral Combined with Parenteral Nutrition Support after Radical Gastrectomy for Gastric Cancer/ZHOU Yibing.//Medical Innovation of China，2018，15(12)：038-041
【Abstract】 Objective：To explore clinical application of early enteral combined with parenteral nutrition support in patients with gastric cancer after operation.Method：A total of 30 patients with gastric cancer diagnosed and surgically resected in our hospital from July 2015 to July 2017 were selected.According to the random number table method，they were divided into experimental group and control group.The experimental group was treated with early enteral combined with parenteral nutrition support，the control group was treated with total parenteral nutrition.The clinical indexes，postoperative indexes and incidence of complications were analyzed in two groups.Result：There were no significant differences in the levels of ALB，TP and IgM between the experimental group and the control group(P>0.05).The levels of IgA and IgG in the experimental group were significantly higher than those in the control group，the level of CRP was significantly lower than that of the control group，the differences were statistically significant(P<0.05).The postoperative exhaust time and hospital stay time in the experimental group were significantly shorter than those in the control group，the nutritional support cost was significantly lower than that in the control group，the differences were statistically significant (P<0.05).The incidence of complications in the experimental group was 26.7%(4/15)，which was significantly lower than 46.7%(7/15)in the control group，the difference was statistically significant(字2=3.120，P<0.001).Conclusion：The early enteral nutrition combined with parenteral nutrition support therapy in patients with gastric cancer after operation can rapidly and effectively improve the nutrition status，enhance immunity and reduce the incidence of postoperative complications and adverse reactions., http://www.100md.com(周轶冰)