| 缪薇菁,俞晓艳,顾爱琴.食管癌微创术后肠内营养治疗504例疗效分析[J].肿瘤学杂志,2019,25(5):450-452. |
| 食管癌微创术后肠内营养治疗504例疗效分析 |
| Efficacy of Postoperative Enteral Nutrition in Esophageal Cancer Patients After Minimally Invasive Esophagectomy |
| 投稿时间：2018-06-06 |
| DOI：10.11735/j.issn.1671-170X.2019.05.B015 |
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| 中文关键词: 微创食管癌根治术 肠内营养 管饲喂养 |
| 英文关键词:minimally invasive esophagectomy enteral nutrition tube feeding |
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| 中文摘要: |
| 摘 要：［目的］ 评价食管癌微创术后早期肠内营养治疗患者的疗效及安全性。［方法］ 对504例食管癌微创术的患者，在术后24h内与24~48h中应用肠内营养管饲治疗，评估其营养状况。［结果］ 全组患者术后d8血清白蛋白、前蛋白的指标明显高于术后d1（P＜0.05），体质指数术后d8高于术前d1（P＜0.05）。患者肠内营养治疗后，耐受良好为72.82%，部分耐受为18.45%，主要不良反应是腹胀严重腹泻（8.73%），完成营养治疗目标量460例（91.27%）。［结论］ 食管癌术后24h内与24~48h中应用肠内营养具有较好的疗效，有效提高肠内营养的安全性与耐受性，改善了营养状况。 |
| 英文摘要: |
| Abstract：［Objective］ To evaluate the efficacy and safety of early enteral nutrition in patients with minimally invasive radical surgery for esophageal cancer. ［Methods］ Five hundred and four patients with esophageal cancer received enteral nutrition tube feeding within 24h and between 24~48h after minimally invasive radical surgery. The nutritional status was assessed. ［Results］ The serum albumin and proprotein levels of patients on postoperative d8 were significantly higher than those on postoperative d1(P<0.05). There was significant difference in body mass index between postoperative d8 and preoperative d1(P<0.05). For enteral nutrition 72.82% patients were well tolerated and 18.45% were partial tolerated. The main adverse effects were abdominal distension and severe diarrhea(8.73%)，and 460 patients(91.27%) completed the nutritional treatment. ［Conclusion］ Enteral nutrition within 24h and between 24~48h after minimally invasive esophageal cancer surgery is effective and safe to improve the nutritional status of patients. |
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