肠内和肠外营养支持方式对胃癌术后营养状况的影响分析

摘要

Objective:To study the impact of of gastric enteral parenteral nutrition nutritional condition of patients. Methods:78 patients with gastric cancer in need of nutritional support were randomly divided into two groups,namely,enteral(EN)and parenteral(PN)group,two groups of equal nutritional support heat,such as nitrogen. Recorded the nutritional status of the two groups of patients before surgery and after surgery,and complications triceps skinfold thickness(TSF)and hemoglobin(Hb)were higher than the PN group(P>0.05);(2)PN group,serum albumin(ALB),total lymphocytes(LYM) decrease in EN group was significantly(P<0.05);(3)postoperative complication rate EN group was 10.52%,the PN group was 23.68%;Comparing the two groups,the difference was statistically significant(P<0.05). Conclusion:The postoperative gastric cancer EN improving patient nutrition is better than the PN, and EN can reduce the incidence of complications after gastric cancer surgery to improve the efficacy of post-operative.%　　目的：研究胃癌术后肠内肠外营养支持对患者营养况的影响。方法：将需要营养支持的胃癌患者78例，随机分为两组，分别为肠内组（EN）和肠外组（PN），两组营养支持均等热量、等氮量。记录两组患者手术前和手术后的基本营养状况，及两组患者手术后并发症的情况。结果：（1）EN 组体重、上臂围（MAC）、上臂肌围（AMC）、三头肌皮褶厚度（TSF）和、血红蛋白（Hb）均高于 PN 组，但差异无统计学意义（P>0.05）；（2）PN 组血浆白蛋白（ALB）、总淋巴细胞（LYM）下降较 EN 组明显（P<0.05）；（3）术后并发症发生率 EN 组为10.52%，PN 组为23.68%；两组比较差异有统计学意义（P<0.05）。结论：胃癌术后 EN 在改善患者营养方面优于 PN，并且 EN 可降低胃癌手术后并发症的发生率，提高手术后的疗效。