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目的 :研究结直肠癌术后早期肠内营养的临床疗效及安全性、可行性。方法 :将 2 0例结直肠癌患者在术后 2 4 h给予能全力肠内营养 ,整个过程将持续 10 d。肠内制剂的投入通过鼻肠管或空肠造瘘管。结果 :术后第 7天均转入正氮平衡 ,白蛋白术前 (34.1± 3.5 ) g/ L,术后第 7天 (33.8± 3.8) g/ L,前白蛋白术前 (0 .2 3± 0 .0 2 ) g/ L,术后第 7天 (0 .2 5±0 .0 3) g/ L;肝功能转氨酶 ,胆红素无明显变化 ;肠蠕动恢复时间 (2 .3± 0 .5 ) d,无并发症。结论 :1结直肠癌术后早期(2 4 h内 )提供肠内营养是安全有效的。 2促进肠功能恢复快 ,对肝功能影响小。 3避免了胃肠外营养相关的并发症
Objective: To study the clinical efficacy, safety and feasibility of early postoperative enteral nutrition in colorectal cancer. Methods: 20 cases of colorectal cancer patients given 24 hours after surgery can give full enteral nutrition, the whole process will last 10 days. Enteral preparations through the nasal or jejunum fistula. Results: On the 7th postoperative day, the patients were switched to positive nitrogen balance, preoperative albumin (34.1 ± 3.5) g / L, postoperative day 7 (33.8 ± 3.8) g / 3 ± 0. 0 2) g / L, and the 7th day after operation (0. 25 ± 0. 03) g / L. There was no significant change in liver function transaminase and bilirubin; ± 0 .5) d, no complications. Conclusion: 1 colorectal cancer early postoperative (24 hours) to provide enteral nutrition is safe and effective. 2 to promote rapid recovery of intestinal function, little effect on liver function. 3 to avoid parenteral nutrition-related complications