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目的:探讨胃癌术后早期肠内营养的临床应用。方法:62例患者随机分为肠内营养组(EN组)和肠外营养组(PN组),经鼻饲管和锁骨下静脉进行营养支持,观察两组患者并发症的发生情况以及术后白蛋白、前白蛋白、淋巴细胞计数。结果:EN组术后腹胀、腹泻的发生率较PN组高;EN组肛门排气、排便时间早于PN组;EN组术后白蛋白略有下降,前白蛋白升高。结论:早期肠内营养可降低术后感染的发生率,有利于胃癌患者术后的恢复。
Objective: To investigate the clinical application of early postoperative enteral nutrition in gastric cancer. Methods: Sixty-two patients were randomly divided into enteral nutrition group (EN group) and parenteral nutrition group (PN group). Nutritional support was given via nasogastric tube and subclavian vein. The incidence of postoperative complications Protein, prealbumin, lymphocyte count. Results: The incidence of postoperative abdominal distension and diarrhea in EN group was higher than that in PN group. In EN group, anus discharge and defecation time were earlier than PN group. In EN group, postoperative albumin slightly decreased and prealbumin increased. Conclusion: Early enteral nutrition can reduce the incidence of postoperative infection, is conducive to the recovery of patients with gastric cancer.