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早期经鼻肠管持续滴注肠内营养对胃癌术后近期营养状态及机体组成的影响

周龙翔 杨喆 赵登秋

疑难病杂志2012,Vol.11Issue(1):31-33,3.
疑难病杂志2012,Vol.11Issue(1):31-33,3.DOI:10.3969 / j.issn.1671-6450.2012.01.011

早期经鼻肠管持续滴注肠内营养对胃癌术后近期营养状态及机体组成的影响

Effect of the early postoperative enteral nutrition on nutrition status and body composition in gastric cancer after gas trectomy

周龙翔 1杨喆 2赵登秋1

作者信息

  • 1. 201500,上海市第六人民医院金山分院普外科
  • 2. 200233,上海市第六人民医院普外科
  • 折叠

摘要

Abstract

Objective To investigate the effect of the early postoperative enteral nutrition on nutrition status and body composition in patients with gastric cancer after gastrectomy. Methods Thirty one patients with gastric cancer were divided into two group: treatment group which received early enteral nutrition( n = 16 ), and control group which received parenteral nutrition( n = 15 ). The patients in treatment groups received enteral nutrition as follows: peptisorb liquid ( Nutricia ) 500 ml on postoperative day 1st, 1000 ml on postoperative day 2nd and 1500 ml from postoperative day 3rd to day 10th. The patients in control group received parenteral nutrition as follows: TPN from postoperative day 1st to day 3rd, PN added with independent eating from postoperative day 4th to day 7th and independent eating after 7 days. The level of Alb,pre Alb and body compositions were detected 10 days after operation. Results The nutritive index in each group were decreased compared with pre-operation status, the differences between the two groups were not statistical significant P >0. 05 ). The body weight and FFM in the control group were decreased more obvious( P <0.05 ). The gastrointestinal symptoms score between two groups were statistical different P <0. 05 ). There were no statistical differences in complications between the two groups( P >0.05 ). Conclusion The early postoperative enteral nutrition improved the nutritional status and the composition of the body.

关键词

胃癌手术/肠内营养,鼻肠管/营养状态/机体组成

Key words

Gastric cancer surgery/Enteral nutrition/Nasal intestinal tube/Nutrition status/Body composition

引用本文复制引用

周龙翔,杨喆,赵登秋..早期经鼻肠管持续滴注肠内营养对胃癌术后近期营养状态及机体组成的影响[J].疑难病杂志,2012,11(1):31-33,3.

疑难病杂志

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1671-6450

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