两种不同营养方式对食管癌手术患者胃肠功能临床效果的对比

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摘要目的对比分析两种不同的营养方式对食管癌手术患者胃肠功能的影响。方法回顾性分析2016年6月~2017年1月我院行外科手术切除术的126例食管癌患者的临床资料,根据患者术后营养方式的不同,分为混合营养组（EN+PN组）与肠外营养组（PN组）,每组各63例。术前1 d、术后第3天及第8天清晨取静脉血进行生化检测,并计算体重下降值。术后观察患者肛门排气时间、排便时间、术后住院时间、消化道症状及并发症等情况。结果术前1 d,两组患者的血清白蛋白、前白蛋白、血红蛋白比较,差异无统计学意义（P>0.05）。与术前1 d比较,术后第3天与第8天,两组患者的血清白蛋白、前白蛋白、血红蛋白显著降低,差异有统计学意义（P<0.05）。而与术后第3天比较,术后第8天两组患者的血清白蛋白、前白蛋白、血红蛋白显著升高,差异有统计学意义（P<0.05）。术后第8天,EN+PN组前白蛋白、血红蛋白水平均明显高于PN组,差异有统计学意义（P<0.05）。术后EN+PN组肛门排气时间、排便时间、住院时间均明显短于PN组,差异有统计学意义（P<0.05）。EN+PN组体重下降值明显低于PN组,差异有统计学意义（P<0.05）。EN+PN组消化道症状及术后并发症发生率均明显低于PN组,差异有统计学意义（P<0.05）。结论早期肠内肠外混合营养方式有利于食管癌患者术后尽快恢复肠道功能,并且可以缩短患者住院时间,不良反应少,值得推广应用。

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	高克锋
	杨宁
	李兴

关键词 ：食管癌, 肠内营养, 肠外营养, 胃肠道功能

Abstract：Objective To compare and analyze the effect of two different nutritional modes on gastrointestinal function in patients with esophageal carcinoma.Methods Retrospective analysis of the clinical data of 126 patients with esophageal cancer who underwent surgical resection in our hospital from June 2016 to January 2017.The patients were divided into mixed nutrition group (EN+PN group) and parenteral nutrition group (PN group) according to the different postoperative nutrition modes of patients,63 cases in each group.The blood was taken at the the morning of preoperative 1 day,third days and eight days after operation for biochemical detection,and the weight loss was calculated.The anal exhaust time,defecation time,postoperative hospital stay,gastrointestinal symptoms and complications were observed after operation.Results The serum albumin,prealbumin and hemoglobin in the two groups were compared with preoperative 1 day,and the differences were not statistically significant (P>0.05).The serum albumin,prealbumin and hemoglobin were significantly reduced in the two groups on the third days and eight days after operation compared with preoperative 1 day,and the differences were statistically significant (P<0.05).While the serum albumin,prealbumin and hemoglobin were significantly higher in the two groups on the eight days after operation compared with the third day after operation,and the differences were statistically significant (P<0.05).On the eighth day after operation,the levels of albumin and hemoglobin in EN+PN group were significantly higher than that of PN group,and the differences were statistically significant(P<0.05).After surgery,the anal exhaust time,defecation time and hospital time of the EN+PN group were significantly shorter than the PN group,and the weight loss was significantly lower than the PN group,the differences were statistically significant (P<0.05). The incidence of digestive tract symptoms and postoperative complications of EN+PN group were significantly lower than that of PN group,and the differences were statistically significant (P<0.05).Conclusion Early enteral parenteral nutrition is beneficial to the recovery of intestinal function as soon as possible after the operation of esophageal carcinoma,and it can shorten the time of hospitalization and less adverse reactions.It is worthy of popularization and application.

Key words： Esophageal cancer Enteral nutrition Parenteral nutrition Gastrointestinal function

收稿日期: 2017-07-12

PACS:

R473.6

引用本文:

高克锋, 杨宁, 李兴. 两种不同营养方式对食管癌手术患者胃肠功能临床效果的对比[J]. 中国当代医药, 2017, 24(24): 42-45.
GAO Ke-feng, YANG Ning, LI Xing. Comparison of clinical effects of two different nutritional modes on gastrointestinal function in patients with esophageal carcinoma. 中国当代医药, 2017, 24(24): 42-45.

链接本文:

http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2017/V24/I24/42

[1]	宋延强,吕文平,庞新建.老年胃癌患者术后早期肠内营养与肠外营养疗效的比较[J].中华普通外科杂志,2004, 19（2）：97-99.
[2]	宋少伟,王勇.食管癌术后常见并发症原因分析和对策[J].吉林医学,2014,35（33）：7425-7426.
[3]	张艳华,陈永凤.循证护理对食管癌术后早期肠内营养支持的护理价值分析[J].中医临床研究,2016,8（17）:133-135.
[4]	Page RD,Oo AY,Russell GN, et al .Intravenous hydration versus naso-jejunal enteral feeding after esophagectomy：a randomised study[J].Eur J Cardiothorac Surg,2002,22（5）：666-672.
[5]	张连杰,丛云凤,赵勇,等.老年食管癌患者术后不同营养方式的效果比较[J].中国老年学杂志,2012,32（5）：915-916.
[6]	Kompan L,Vidmar G,Spindler-Vesel A, et al .Is earlyenteral nutrition a risk factor for gastric intolerance and pneumonia?[J].Clin Nutr,2004,23（4）：527-532.
[7]	龙晓静,孙德强,曾英.食管癌术后早期肠内营养联合肠外营养与全肠外营养支持的临床疗效比较[J].中国医药导报,2016,13（5）：126-129.
[8]	吴小丽,刘纳新,吴建胜,等.老年胃癌患者营养风险筛查及术后早期肠内营养治疗的研究[J].医学研究杂志,2014,18（12）：56-59.
[9]	谢德贵.外伤性肠破裂修补术后早期肠内营养支持对患者营养状况及免疫功能的影响[J].实用临床医药杂志,2014,18（32）：110-111.
[10]	张红燕.危重症患者应用肠内营养的常见并发症及护理干预进展[J].解放军护理杂志,2011,28（14）:34-35.
[11]	应晶晶,戴宁低热量肠内营养联合肠外营养对消化道肿瘤术后的临床疗效分析[J].中国医药导报,2013,10（31）:37-40.
[12]	李威,夏涛,甘涛,等.术后早期肠内营养对胃癌根治术患者快速康复的效果[J].广西医学,2015,37（5）:637-639.
[13]	刘博.胃癌全胃切除术后早期肠内营养支持的临床效果观察[J].海南医学2014,25（3）:338-340.
[14]	王军,吴瑛,鲍月红,等.神经外科重症患者肠内营养合并胃潴留的相关因素分析[J].中国护理管理,2011,11（14）:63-66.
[15]	李进展,张会迎,吴俊伟,等.早期应用肠内营养对急性重症胰腺炎预后的影响[J].广东医学,2012,33（11）:1597-1598.