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| 营养不良的胃癌患者术后肠内营养与肠外营养效果比较 | |
| 引用本文： | 李立涛,赵春临,朱阿丽,张德甫.营养不良的胃癌患者术后肠内营养与肠外营养效果比较[J].郑州大学学报(医学版),2007,42(3):570-571. |
| 作者姓名： | 李立涛 赵春临 朱阿丽 张德甫 |
| 作者单位： | 1. 郑州大学公共卫生学院营养学与食品卫生学教研室,郑州,450001 2. 郑州大学第一附属医院普外科,郑州,450052 3. 郑州大学公共卫生学院儿童少年卫生学教研室,郑州,450001 |
| 摘 要： | 目的:观察肠内营养(EN)与肠外营养(PN)对营养不良的胃癌患者术后临床恢复的影响.方法:选取经主观综合性营养评估法(SGA)评价为中、重度营养不良的胃癌患者58例,随机分为EN组和PN组各29例,共治疗7 d.观察治疗期间感染发生情况,记录患者肛门排气时间和术后留院时间.手术前后均测量体质量指数(BMI),同时抽取静脉血检测前白蛋白(PA)、血红蛋白(HG)和白蛋白(AL).结果:2组感染率差异无统计学意义(P＞0.05),EN组肛门排气时间提前(P＜0.05),术后留院时间明显缩短(P＜0.05).EN组术后BMI和PA明显高于PN组(P＜0.05).结论:EN治疗营养不良的胃癌患者术后临床恢复多个方面均优于PN治疗. |
| 关 键 词： | 营养不良 胃癌 肠内营养 肠外营养 |
| 收稿时间： | 2006-11-14 |
| 修稿时间： | 2006-11-14 |
Effects of enteral nutrition and parenteral nutrition for malnutritional patients with gastric carcinoma after operation |
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| LI Litao,ZHAO Chunlin,ZHU Ali,ZHANG Defu.Effects of enteral nutrition and parenteral nutrition for malnutritional patients with gastric carcinoma after operation[J].Journal of Zhengzhou University: Med Sci,2007,42(3):570-571. | |
| Authors: | LI Litao ZHAO Chunlin ZHU Ali ZHANG Defu |
| Affiliation: | 1 Department of Nutrition and Food Hygiene, College of Public Health, Zhengzhou University, Zhengzhou 450001 ;2 Department of Surgery, the First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052 ;3 Department of Hygiene of Children and Adolescents, College of Public Health, Zhengzhou University, Zhengzhou 450001 |
| Abstract: | Aim: To observe the clinic outcome of the malnutritional patients with gastric carcinoma treated by enteral nutrition (EN) or parenteral nutrition (PN) after operation.Methods:Fifty eight patients with gastric carcinoma were assessed to be malnutritional after operation and randomly allocated into EN group and PN group and treated for 7 days. The postoperative infection and the evacuation time by anus and hospitalization time were recorded. Body mass index (BMI), PA, HG and AL before and after EN or PN were determined. Results: The evacuation time by anus and the hospitalization time of EN group were significantly shorter than those of PN group(P<0.05). BMI and the serum PA in the EN group were obviously higher than those in the PN group (P<0.05). Conclusion: EN has advantages over PN for the malnutritional patients with gastric carcinoma after operation in clinical outcomes. |
| Keywords: | malnutrition gastric carcinoma enteral nutrion parenteral nutrition |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |
