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老年食管癌患者围术期营养治疗的研究

祝鑫海 具晟 陈国平 舒跃 鲁高锋 袁丰

浙江医学2012,Vol.34Issue(10):760-762,3.
浙江医学2012,Vol.34Issue(10):760-762,3.

老年食管癌患者围术期营养治疗的研究

Perioperative nutritional support for elderly patients with esophageal carcinoma

祝鑫海 1具晟 1陈国平 1舒跃 1鲁高锋 1袁丰1

作者信息

  • 1. 310013,杭州,浙江医院胸外科
  • 折叠

摘要

Abstract

Objective To evaluate the perioperative nutrition support for elderly patients with esophageal carcinoma. Methods One hundred and fifty two elderly patients with esophageal carcinoma undergoing esophagectomy received total par-enteral nutrition (TPN group), enteral nutrition (EN group) or perioperative enteral nutrition (PEN group) support. The serum nutritional index, recovery of gastrointestinal functions and postoperative complications were observed and compared among three groups. Results Postoperative exhaust time was significantly shorter!P<0.01); plasma albumin and transferrin levels were significantly higher (P<0.05); the incidence rate of short-term complications including post-operative anastomostic leakage and lung infection was lower in PEN group than those in TPN group. Conclusion The study suggests that postoperative EN treatment is an effective method to improve nutritional status, to enhance recovery of gastrointestinal function and to reduce postoperative complications for elder patients undergoing esophagectomy.

关键词

老年食管癌/营养治疗/围术期/营养风险

Key words

Elderly esophagectomy Nutrition therapy Perioperative Nutritional risk

引用本文复制引用

祝鑫海,具晟,陈国平,舒跃,鲁高锋,袁丰..老年食管癌患者围术期营养治疗的研究[J].浙江医学,2012,34(10):760-762,3.

浙江医学

OACSTPCD

1006-2785

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