目的：评估进展期胃癌患者术后施行早期肠内营养(EEN)的应用效果和安全性。方法对33例进展期胃癌患者术中置鼻肠管，术后早期进行肠内营养。记录患者EEN支持前、后肝肾功能、血糖、电解质以及肠内营养并发症。结果 EEN支持前后患者的钾、钠、血糖、尿素氮和谷丙转氨酶等各项生化指标差异均无统计学意义，同时患者的白蛋白以及淋巴细胞计数保持在一个较为稳定的水平。结论进展期胃癌术后EEN可以有效维持患者的营养状况，是一种安全、有效、方便、经济的营养支持方法，值得临床推广。%Objective To evaluate the effect and safety of early enteral nutrition(EEN) after surgery in patients with advanced gastric cancer. Methods 33 cases of advanced gastric cancer patients with nasal tube, EEN after operation. records of patients before the EEN support, and renal function, blood glucose, electrolytes, and complications of enteral nutrition. Results The patient's potassium, sodium, glucose, urea nitrogen, and alanine aminotransferase, and other biochemical parameters showed no significant difference. Albumin and lymphocyte counts were aintained at a relatively stable level. Conclusion EEN can effectively maintain the nutritional status of patients with advanced gastric cancer after operation. It is a safe, effective, convenient and economical method of nutritional support, worthy of promotion.
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