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目的:观察贲门或食管癌病人术后早期序贯肠内营养(ESEN)支持的临床效果。方法:将102例贲门或食管癌病人,随机分为ESEN组55例和常规肠内营养(EN)组47例。比较两组病人营养支持前后的营养状况和生化指标。结果:两组病人的血清总蛋白、清蛋白和前清蛋白在营养支持后均显著升高,ESEN组的前清蛋白升高较EN组更为显著(P<0.05)。结论:ESEN支持与常规EN相比,可能更适合病人术后胃肠道功能的恢复。
Objective: To observe the clinical effects of early sequential enteral nutrition (ESEN) support in patients with cardiac or esophageal cancer. METHODS: A total of 102 patients with cardiac or esophageal cancer were randomly divided into ESEN group (55 cases) and conventional enteral nutrition (EN group) (47 cases). The nutritional status and biochemical indicators before and after nutritional support were compared between the two groups of patients. RESULTS: Serum total protein, albumin and prealbumin were significantly increased after nutritional support in both groups. The increase in prealbumin in ESEN group was more significant than that in EN group (P<0.05). Conclusion: ESEN support may be more suitable for recovery of postoperative gastrointestinal function than conventional EN.