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目的:探讨早期应用肠内营养的可行性、安全性及临床效果。方法:胃癌手术后早期(12 h)经术中放置的鼻空肠管进行早期肠营养,术前、术后1 d、7 d、14 测定血浆白蛋白、肝肾功能、血糖、电解质。结果:胃癌术后7 d白蛋白较术前增高术后14 d明显增高,与术前比有显著性差异(P<0.01)。未发现肝、肾功能及血糖、电解质异常。结论:胃癌术后早期应用能全力进行早期肠内营养,可以明显改善患者营养状态,安全可行,无其他并发症,与静脉营养相比可以明显降低医疗费用。
Objective: To investigate the feasibility, safety and clinical efficacy of early enteral nutrition. Methods: The early enteral nutrition was placed in nasal jejunum placed in the early postoperative period (12 h). Serum albumin, liver and kidney function, blood glucose and electrolytes were measured preoperatively, 1 d, 7 d and 14 d after operation. Results: The level of albumin on the 7th day after operation was significantly higher than that on the 14th day after operation, which was significantly different from that before operation (P <0.01). No liver, kidney function and blood glucose, electrolyte abnormalities were found. Conclusion: The early postoperative application of gastric cancer can exert the full potential of early enteral nutrition, which can significantly improve the nutritional status of patients. It is safe and feasible and has no other complications. Compared with intravenous nutrition, the medical cost can be significantly reduced.