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目的探讨老年胃癌合并糖尿病患者术后早期肠内营养的合理性和安全性。方法将60例老年胃癌合并糖尿病患者随机分为早期肠内营养组(EEN,30例)和肠外营养组(PN,30例)。检测手术前和手术后第4、10天营养指标和肝功能等变化,详细记录血糖变化,观察临床恢复情况。结果术后肠内营养组血糖水平波动较肠外营养组平稳(P<0.01)。术后第4天EEN组患者的各项营养指标和肝功能指标恢复明显高于PN组患者(P<0.01)。并发症发生率EEN组少于PN组,差异有统计学意义(P<0.01)。结论胃肠肿瘤手术后早期应用肠内营养对老年糖尿病患者是一个较好的方法,方便血糖调控,同时可促进机体康复,减少并发症。
Objective To investigate the rationality and safety of early postoperative enteral nutrition in elderly patients with gastric cancer complicated with diabetes mellitus. Methods Sixty elderly patients with gastric cancer complicated with diabetes were randomly divided into early enteral nutrition group (EEN, 30 cases) and parenteral nutrition group (PN, 30 cases). Preoperative and postoperative surgery 4 and 10 days, nutritional indicators and changes in liver function, blood glucose changes recorded in detail to observe the clinical recovery. Results The blood glucose level in postoperative enteral nutrition group was more stable than that in parenteral nutrition group (P <0.01). On the fourth day after operation, the recovery of various nutritional indexes and liver function indexes of EEN patients was significantly higher than that of PN patients (P <0.01). The incidence of complications in EEN group was less than that in PN group, the difference was statistically significant (P <0.01). Conclusion Early enteral nutrition after gastrointestinal cancer surgery is a good method for elderly patients with diabetes to facilitate the regulation of blood glucose and promote the recovery of the body and reduce the complications.