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食管癌术后早期肠内营养支持对术后恢复的影响

张哲 卢志猛 严坤 秦中华 虞桂平

中国医药科学2025,Vol.15Issue(10):131-135,5.
中国医药科学2025,Vol.15Issue(10):131-135,5.DOI:10.20116/j.issn2095-0616.2025.10.29

食管癌术后早期肠内营养支持对术后恢复的影响

The impact of early enteral nutrition support on postoperative recovery in patients with esophageal cancer

张哲 1卢志猛 1严坤 1秦中华 1虞桂平1

作者信息

  • 1. 徐州医科大学江阴临床学院胸心外科,江苏江阴 214400
  • 折叠

摘要

Abstract

Objective To investigate the impact of early postoperative enteral nutrition support on postoperative recovery in patients with esophageal cancer.Methods A total of 60 patients without diabetes who underwent radical resection of esophageal cancer admitted to Jiangyin People's Hospital from January 2020 to February 2024 were selected as the research objects,and enteral nutrition was given within 24 hours after operation as the enteral nutrition group(n=30).After surgery,parenteral nutrition was given immediately,and at least 5 days later,enteral nutrition was given to the parenteral nutrition group(n=30).The postoperative prealbumin value,hemoglobin value,D-dimer values,defecation time,postoperative thoracic drainage tube extubation time,total hospitalization costs,and incidence of complications between two groups of patients were analyzed and compared.Results The defecation time of the enteral nutrition group was earlier than that of the parenteral nutrition group,with statistically significant difference(P<0.05).The difference in prealbumin levels between the enteral nutrition group and the parenteral nutrition group was also obvious,with statistically significant difference(P<0.05).There were no statistically significant differences in D-dimer difference,hemoglobin difference,incidence of complications,extubation time of thoracic drainage tube,and total hospitalization cost between the two groups,without statistically significant differences(P>0.05).Conclusion Early enteral nutrition support can improve the nutritional status of patients undergoing radical esophageal cancer surgery,help shorten the time for defecation and defecation,reduce the occurrence of abdominal distension,and enable faster and more comfortable recovery for patients.

关键词

食管癌/肠内营养/肠外营养/早期肠内营养支持

Key words

Esophageal cancer/Enteral nutrition/Parenteral nutrition/Early enteral nutrition support

分类

医药卫生

引用本文复制引用

张哲,卢志猛,严坤,秦中华,虞桂平..食管癌术后早期肠内营养支持对术后恢复的影响[J].中国医药科学,2025,15(10):131-135,5.

基金项目

江苏省研究生实践创新计划项目(SICX23-1398) (SICX23-1398)

江苏省江阴市卫生健康委员会科研项目(Q202206) (Q202206)

江苏省无锡市卫生健康委员会科研项目(M202316) (M202316)

江苏省无锡市科协软科学研究课题(KX-22-B15) (KX-22-B15)

江苏省无锡市哲学社会科学招标课题(WXSK24-C-97). (WXSK24-C-97)

中国医药科学

2095-0616

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