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目的:对比胃癌患者行胃切除术后的肠内营养(EN)与肠外营养(PN)治疗的疗效;方法:选择我院肿瘤外科2013年5月-2017年5月所收治的104例胃癌根治术患者为研究对象,按照随机统计原理将所有患者分为观察组与对照组,每组52例。观察组给予EN治疗,对照组给予PN治疗。在术前以及术后一周内对患者的体重、转铁蛋白、血清白蛋白、血红蛋白等指标进行检测,对患者的术后肠道功能恢复情况、并发症的发生情况、住院时间以及医疗费用进行对比分析;结果:观察组与对照组患者术后在体重、转铁蛋白、血清白蛋白、血红蛋白等指标方面无明显统计学差异,但是观察组患者的前白蛋白水平明显高于对照组(P<0.05),观察组患者的肠道功能恢复所需时间以及术后并发症的发生概率要明显低于对照组中患者,统计学具有明显差异性(P<0.05),观察组患者医疗费用要明显低于对照组中的患者(P<0.05)。结论:胃癌患者行部分胃切除术之后早期采用肠内营养治疗对于患者肠道功能恢复、降低术后并发症的发生概率以及住院费用都具有较为明显的作用。
OBJECTIVE: To compare the efficacy of enteral nutrition (EN) and parenteral nutrition (PN) after gastric resection in patients with gastric cancer.Methods: 104 gastric cancer patients who were treated in our hospital from May 2013 to May 2017 were enrolled in this study. According to the principle of stochastic statistics, all patients were divided into observation group and control group, with 52 cases in each group. The observation group was treated with EN and the control group with PN. Patients’ body weight, transferrin, serum albumin, hemoglobin and other indexes were detected preoperatively and within one week after surgery. The postoperative recovery of intestinal function, the occurrence of complications, hospitalization time and medical expenses were performed Results: There was no significant difference in body weight, transferrin, serum albumin, hemoglobin and other indexes between observation group and control group after operation, but pre-albumin level in observation group was significantly higher than that in control group (P <0.05). The time required for recovery of intestinal function and the incidence of postoperative complications in the observation group were significantly lower than those in the control group (P <0.05). The medical expenses of the observation group Significantly lower than those in the control group (P <0.05). Conclusion: The early use of enteral nutrition after partial gastrectomy in patients with gastric cancer has a significant effect on the recovery of intestinal function, reducing the incidence of postoperative complications and hospitalization costs.