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回顾性分析306例食管癌及贲门癌患者切除术后早期营养支持的临床资料。结果:术后平均住院日早期肠内营养(EEN)组较完全肠外营养(TPN)组短(P<0.01),平均住院费用/药物费用EEN,TPN组分别为16,883/6,081元vs 21,964/9,986元,(P<0.05)。并发症发生率EEN组少于TPN组,差异有显著性(P<0.05)。EEN组治疗后肝功能的血浆前白蛋白和转铁蛋白都明显提高。TPN组治疗后肝功能的碱性磷酸酶水平高于治疗前,差异有显著性(P<0.05)。提示:食管癌贲门癌切除术后早期EEN支持可明显减少并发症的发生,对肝功能影响极小,医疗费用显著减低。
Retrospective analysis of 306 cases of esophageal and cardiac cancer patients after resection of early nutritional support clinical data. Results: The average length of hospital stay after enteral nutrition (EEN) group was shorter than that of TPN group (P <0.01), and the average hospitalization cost / medication cost was EEC (EEN, TPN) was 16,883 / 6,081 yuan vs 21,964 / 9,986 yuan (P <0.05). The complication rate was lower in EEN group than in TPN group (P <0.05). EEN group after treatment of liver function of plasma prealbumin and transferrin were significantly improved. The level of alkaline phosphatase of liver function in TPN group was significantly higher than that before treatment (P <0.05). Tip: early EEN after resection of esophageal cancer cardiac surgery can significantly reduce the incidence of complications, minimal impact on liver function, medical costs significantly reduced.