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目的探究食管癌、贲门癌患者术后早期肠内营养与肠外营养的临床疗效。方法 104例行食管癌、贲门癌切除术患者,随机分为对照组和观察组,各52例,对照组患者术后24 h开始采用肠外营养支持(PN),观察组患者术后24 h开始采用肠内营养支持(EN),观察比较两组患者肠胃蠕动恢复时间、术后15 d体重下降改善情况和营养支持费用。结果观察组患者术后肠胃蠕动恢复时间早于对照组(P<0.05),患者15 d体重下降少于对照组(P<0.05),营养支持费用低于对照组,差异有统计学意义(P<0.05)。结论食管癌、贲门癌患者术后采用肠内营养支持,患者肠胃蠕动恢复时间早,体重下降少,营养支持费用低,治疗效果显著,值得临床推广。
Objective To investigate the clinical efficacy of early enteral nutrition and parenteral nutrition in patients with esophageal and cardiac cancer. Methods A total of 104 patients undergoing esophagectomy and gastric cardia resection were randomly divided into control group and observation group, with 52 cases in each group. Patients in control group were given parenteral nutrition support (PN) 24 hours after operation and 24 hours after operation Enteral nutrition support (EN) began to be used to observe the recovery time of gastrointestinal motility and weight loss and improvement of nutritional support after 15 days of operation. Results The recovery time of gastrointestinal motility in the observation group was earlier than that in the control group (P <0.05). The body weight of the observation group decreased less on the 15th day than that of the control group (P <0.05), and the nutritional support cost was lower than that of the control group <0.05). Conclusion Esophageal and gastric cardia cancer patients with enteral nutrition support postoperative recovery of gastrointestinal motility early, less weight loss, low nutritional support, the treatment effect is significant, worthy of clinical promotion.