|本期目录/Table of Contents|

[1]王晨光,傅芬兰,张鹏程,等.全胃切除术后早期肠内外营养的临床研究[J].医学研究与战创伤救治(原医学研究生学报),2013,15(01):30-32.
　WANG Chen-guang,FU Fen-lan,ZHANG Peng-chen,et al.Evaluation of early parenteral nutrition and enteral nutrition in totalgastrectomy[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2013,15(01):30-32.
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全胃切除术后早期肠内外营养的临床研究()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第15卷
期数:
2013年01期
页码:
30-32
栏目:
出版日期:
2013-01-20

文章信息/Info

Title:
Evaluation of early parenteral nutrition and enteral nutrition in totalgastrectomy
文章编号:
1672-271X(2013)01-0030-03
作者:
王晨光; 傅芬兰; 张鹏程; 刘巧云
350002 福建福州，南京军区福州总医院476临床部普通外科
Author(s):
WANG Chen-guang; FU Fen-lan; ZHANG Peng-chen; LIU Qiao-yun.
Department of General Surgery,476 Clinical Branch of Fuzhou General Hospital of Nanjing Military Command,Fuzhou,Fujian 350002,China
关键词:
胃癌; 全胃切除术; 肠外营养; 肠内营养
Keywords:
gastric cancer;  total gastrectomy;  parenteral nutrition;  enteral nutrition
分类号:
R459.3;R735.2
DOI:
-
文献标志码:
A
摘要:
目的 探讨全胃切除术后早期肠外营养(TPN)与肠内营养(EN)的疗效。方法 将因胃癌行全胃切除术的48例随机分为TPN组与EN组，每组 24例。观察两组患者术后临床症状、并发症、平均住院时间、手术前后各组血清蛋白的变化及免疫功能状况指标。结果 EN组与TPN组比较术后肛门排气时间早、并发症低、住院时间短，两组比较差异有统计学意义(P<0.05)；术后第3天及术后第14天，EN组的总蛋白、白蛋白、转铁蛋白水平明显高于TPN组(P<0.05)；术后第7天两组CD4+T细胞、NK细胞、IgM、IgG均明显升高，两组比较差异有统计学意义(P<0.05)。结论 全胃切除术后早期EN是安全、有效的营养支持途径，可迅速恢复患者的免疫状态，缩短肠道功能恢复时间和住院时间。
Abstract:
Objective To evaluate the efficacy of early parenteral nutrition and enteral nutrition in the patients of total gastrectomy.Methods Forty-eight patients with total gastrectomy for gastric cancer surgery were randomly divided into groups of early parenteral nutrition and enteral nutrition group,24 patients in each group.Immune function index,complication rate and postoperative intestinal function recovery time and average hospital stay were observed.Results EN group and TPN group had early recovery time of postoperative anal exhaust,low complication rate,and short postoperative hospitalization time compared with the control group.There was significant difference between the two groups (P<0.05).The total protein,albumin,transferrin level in EN group was significantly higher than that in the TPN group in postoperative day 3 and postoperative day 14(P<0.05).CD4+ T cells,NK cells,IgM,and IgGwere significantly increased in two groups on seventh day.A statistical significant difference was found between EN and TPN group (P<0.05).Conclusion Early EN total after gastrectomy are safe and effective nutritional support ways,which can quickly restored patients' immune status,shorten the intestinal function recovery time and the length of time.

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2013-01-20