| 老年食管贲门癌术后早期肠内营养与肠外营养疗效的对比研究 |
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| 引用本文： | 尤俊,秦维霞,吴培仁,洪明,邱江锋. 老年食管贲门癌术后早期肠内营养与肠外营养疗效的对比研究[J]. 肠外与肠内营养, 2010, 17(2) |
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| 作者姓名： | 尤俊 秦维霞 吴培仁 洪明 邱江锋 |
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| 作者单位： | 福建医科大学附属厦门第一医院肿瘤外科,福建厦门,361003 |
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| 摘 要： | 目的:探讨术后早期肠内营养(EEN)在老年食管贲门癌病人中的临床价值。方法:将102例老年食管贲门癌病人随机分为术后EEN组51例,全肠外营养(TPN)组51例,分别在术前和术后第8天测定病人的体重、血清清蛋白(ALB)、前清蛋白(PA)、总胆红素(TBIL)和谷氨酰转肽酶(GGT)等,观察肛门排气时间、并发症发生率和治疗费用情况。结果:术后第8天,EEN组病人的体重下降明显少于TPN组(P0.05),血清PA水平高于TPN组(P0.05),TBIL、GGT指标低于TPN组(P0.05),肛门排气时间短于TPN组(P0.05),术后营养相关费用和术后非营养治疗费用少于TPN组,平均住院时间短于TPN组(P0.05)。结论:老年食管贲门癌病人术后EEN对肝功能影响小,在改善营养状况、促进胃肠功能恢复、减少感染并发症和降低治疗费用方面明显优于TPN。
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| 关 键 词： | 食管肿瘤 贲门肿瘤 外科手术 肠内营养 肠外营养 |
Clinical comparative study of postoperative early enteral nutrition and parenteral nutrition in elder patients with esophageal and cardiac cancer |
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| YOU Jun,QIN Wei-xia,WU Pei-ren,HONG Ming,QIU Jiang-feng. Clinical comparative study of postoperative early enteral nutrition and parenteral nutrition in elder patients with esophageal and cardiac cancer[J]. Parenteral & Enteral Nutrition, 2010, 17(2) |
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| Authors: | YOU Jun QIN Wei-xia WU Pei-ren HONG Ming QIU Jiang-feng |
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| Affiliation: | Department of Oncology Surgery;the First Hospital of Xiamen Affiliated;Fujian Medical University;Xiamen 361003;Fujian;China |
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| Abstract: | Objective:To compare the clinical value of early enteral nutrition(EEN) with total parenteral nutrition(TPN) in postoperative elder patients with esophageal and cardiac cancer. Methods: 102 cases of postoperative elder patients with esophageal and cardiac cancer were randomly divided into EEN group(n=51)and TPN group(n=51).The weight loss,serum albumin, prealbumin,liver function were measured before operation and on the eighth day after operation. The anal exsufflation time, infectious complication, duratio... |
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| Keywords: | Esophageal neoplasm Cardiac neoplasm Surgical procedure Enteral nutrition Parenteral nutrition |
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