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目的:观察术后早期肠内营养支持治疗对胃癌病人恢复的影响。方法:将48例胃癌病人随机分为观察组和对照组,术后分别行肠内营养(EN)联合肠外营养(PN)和完全肠外营养(TPN),测定2组病人手术前后转铁蛋白(TF)、血清C反应蛋白(CRP)水平,并观察2组病人术后肛门排气、并发症和住院时间的变化。结果:和对照组相比,观察组胃癌病人术后第5天血清CRP水平明显下降(P<0.05),血清TF水平显著增加(P<0.05),同时术后肛门排气和术后住院时间缩短(P<0.05),术后感染发生率降低(P<0.05)。结论:术后早期增加EN治疗利于胃癌病人术后康复。
Objective: To observe the effect of early postoperative enteral nutrition support on patients with gastric cancer. Methods: Forty-eight patients with gastric cancer were randomly divided into observation group and control group. Postoperative enteral nutrition (EN) combined with parenteral nutrition (PN) and total parenteral nutrition (TPN) (TF) and serum C-reactive protein (CRP) were measured. Anal exhaust, complications and length of hospital stay were observed in two groups. Results: Compared with the control group, serum CRP level decreased significantly (P <0.05) and serum TF level increased significantly (P <0.05) on the fifth postoperative day in the observation group, meanwhile postoperative anal exhaust and postoperative hospital stay (P <0.05), and the incidence of postoperative infection decreased (P <0.05). Conclusion: The early postoperative EN treatment is beneficial to the postoperative recovery of gastric cancer patients.