国际医药卫生导报2014，Vol.20Issue(11)：1558-1561,4.DOI:10.3760/cma.j.issn.1007-1245.2014.11.029
早期肠内营养与全肠外营养对胃癌合并糖尿病患者术后恢复情况的影响对比
Comparative study on postoperative recovery of early enteral nutrition and total parenteral nutrition in patients with diabetes undergoing gastrectomy for gastric cancer
潘锋锷 1林集荣 1杨逸峰 1辜树勇1
作者信息
- 1. 515638 潮州市潮安区人民医院普通外科
- 折叠
摘要
Abstract
Objective To investigate the influence on postoperative recovery of early enteral nutrition (EEN) and total parenteral nutrition (TPN) in patients with diabetes undergoing gastrectomy for gastric cancer.Methods 76 patients with diabetes undergoing gastrectomy for gastric cancer in our hospital from February 2012 to July 2012 were divided into EEN group and TPN group according to the different methods of nutritional support,EEN group was treated with EEN,and TPN group was treated with TPN,the liver function,nutritional indexes,the change of blood glucose,gastrointestinal recovery and the complications of two groups in different time were compared.Results The liver function and nutritional indexes of EEN group on the fourth day were much higher than those in TPN group,the difference was statistically significant (P ＜ 0.05).8 days after operation the blood glucose fluctuation values of TPN group was larger compared with that of the EEN group,and the fluctuation value was higher than that of EEN group,the difference was statistically significant (P ＜ 0.05).Anal exhaust time of EEN group was much lower than that of TPN group,the difference was statistically significant (P ＜ 0.05).EEN group had no complications,the complication rate was far lower than that in TPN group,the difference was statistically significant (P ＜ 0.05).Conclusion Taking EEN in gastric cancer patients complicated with diabetes as postoperative nutritional support can improve the nutritional status of patients,not only can keep blood sugar stable,but also has a lower incidence of postoperative complications,which can promote the rehabilitation of patients with good effect on the body.关键词
早期肠内营养/全肠外营养/胃癌/糖尿病Key words
Early enteral nutrition/Total parenteral nutrition/Gastric cancer/Diabetes引用本文复制引用
潘锋锷,林集荣,杨逸峰,辜树勇..早期肠内营养与全肠外营养对胃癌合并糖尿病患者术后恢复情况的影响对比[J].国际医药卫生导报,2014,20(11):1558-1561,4.
