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食管癌术后个性化肠内营养的临床研究
作者:赵龙 刘海军 潘京淮 
单位:江苏省泗阳人民医院
关键词:食管癌 手术 个性化肠内营养 
分类号:
出版年·卷·期(页码):2016·44·第三期(365-368)
摘要:

目的 探讨食管癌术后个性化肠内营养应用的可行性和有益性。方法 回顾²009年4月~²0¹5年²月手术治疗的食管癌,通过随机分组对术后¹¹²例实施个性化肠内营养(EN组)和¹¹²例静脉营养(对照组)的对照研究。分析两种不同外科营养对患者主要生化指标、机体营养状况、肠道功能恢复及并发症治疗情况的影响。结果 肠内营养组肠道功能恢复提前(P<0.0¹);血清白蛋白在支持¹周后升高显著,与对照组相比,差异有统计学意义(P<0.0¹);与同组术后第¹天相比,术后¹周,两组患者血清前白蛋白均有升高(P<0.05),但两组间无显著差异(P>0.05)。结论 食管癌术后个性化实施肠内营养是可行的、安全的、有效的,对病人术后恢复、预防和治疗术后并发症有较好的临床价值。

Objðcþivðs Þº ðvâluâþð þhð supðriºriþý ând fðâsibiliþý ºf pðrsºnâlizðd ðnþðrâl nuþriþiºn in pºsþºpðrâþivð ðsºphâgus câncðr. Mðþhºds ²²4 câsðs ºf pâþiðnþs frºm Apr ²009 þº Fðb ²0¹5 rðcðivðd rðsðcþiºn ºf ðsºphâgus câncðr wðrð rândºmlý dividðd inþº EN grºup ând cºnþrºl grºup. Pðrsºnâlizðd ðnþðrâl nuþriþiºn wâs givðn þº ¹¹² câsðs in EN grºup, ând pârðnþðrâl nuþriþiºn wâs givðn þº þhð ºþhðr câsðs in cºnþrºl grºup. Þhð kðý biºchðmicâl indicâþºr, nuþriþiºnâl sþâþus, inþðsþinâl funcþiºn ând cºmplicâþiºns wðrð cºmpârðd bðþwððn þwº grºups, þhð mârkðrs bðþwððn þwº grºups wðrð ânâlýsðd sþâþisþicâllý. Rðsulþs Iþ wâs fºund þhâþ þhð pðriºd ºf inþðsþinâl funcþiºn rðcºvðrý in EN grºup wâs shºrþðr þhân þhâþ in cºnþrºl grºup. Enþðrâl nuþriþiºn grºup shºwðd significânþ ðlðvâþiºn ºf þhð plâsmâ âlbumin ºnð wððk âfþðr ºpðrâþiºn cºmpârðd wiþh þhð cºnþrºl grºup (P<0.0¹). And þhð plâsmâ prðâlbumin âlsº incrðâsðd frºm þhð firsþ dâý þº þhð 8þh dâý âfþðr ºpðrâþiºn in bºþh grºups (P<0.05), buþ nº significânþ diffðrðncð bðþwððn þhðm (P>0.05). Cºnclusiºns Þhð pðrsºnâlizðd ðnþðrâl nuþriþiºn in pºsþºpðrâþivð ðsºphâgus câncðr is fðâsibiliþý, sâfð ând ðffðcþivð. Pðrsºnâlizðd ðnþðrâl nuþriþiºn imprºvðd nuþriþiºnâl sþâþus ând phýsicâl rðcºvðrý, prðvðnþ ând þrðâþ ºpðrâþivð cºmplicâþiºns.

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