不同营养支持方式对高龄结直肠癌病人术后恢复的影响
Effect of different nutrition support methods on the postoperative recovery of elderly patients with colorectal cancer
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摘要: 目的：探讨不同营养支持方式对高龄结直肠癌病人术后恢复的影响。方法：56例65岁以上高龄结直肠癌病人随机分为观察组和对照组，各28例，对照组病人给予肠外营养，观察组术后24 h内给予肠内营养与肠外营养互补。比较2组病人术前及术后7 d尿素氮、血清总蛋白（TP）、血清白蛋白（Alb）和血浆前白蛋白的变化及术后肛门排气时间、术后并发症、住院时间和住院期间营养费用。结果：术后7 d观察组血清TP和Alb水平高于对照组（P<0.01），且排气时间、住院时间和住院期间营养费用均少于对照组（P<0.01）；2组术后Pa和并发症感染率差异无统计学意义（P>0.05）。结论：早期给予肠内营养可以提高血清TP和Alb水平，加快排气，缩短住院时间，减少住院期间营养费用。Abstract: Objective: To investigate the effects of different nutrition support methods on the postoperative recovery of elderly patients with colorectal cancer.Methods: Fity-six colorectal cancer patients with more than 65 years old were randomly divided into the control group and observation group(28 cases each group).The control group were treated with parenteral nutrition,and the observation group were treated with enteral nutrition combined with parenteral nutrition within 24 h after operation.The levels of blood urea nitrogen,serum total protein(TP),serum albumin (Alb) and plasma prealbumin before operation and postoperative 7 days between two groups were compared,and the postoperative anal exhaust time,postoperative complications,hospitalization time,and hospitalization cost between two groups were compared.Results: The postoperative TP and Alb levels in observation group were higher than those in control group(P<0.01),and the exhaust time,hospitalization time and hospitalization cost in observation group were less than those in control group(P<0.01).The difference of Pa and incidence of complication between two groups was not statistically significant(P>0.05).Conclusions: Early enteral nutrition can increase the levels of TP and Alb,quicken exhaust,shorten hospitalization time and reduce hospitalization cost of patients.
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Key words:
- colorectal neoplasms /
- eld /
- early enteral nutrition
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