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目的 :探究适合用于胃癌手术患者的肠内营养输注方案。方法 :选取2014年3月~2016年3月于本院确诊为胃癌并接受手术治疗的86例患者为研究对象。按照随机数表法将全部患者分为观察组与对照组,其中,观察组患者43例,对照组患者43例。观察组患者行持续性肠内营养输注方案,对照组患者行周期性肠内营养输注方案,输注时间为1周。治疗结束后收集两组患者术后临床基本情况、机体免疫指标、营养指标相关情况进行比较分析。结果 :在临床状况方面,观察组患者43例患者全部耐受,对照组41例患者耐受;观察组患者达全肠内营养输注时间、脱管时长分别为3.4±1.3d、5.6±0.8d,对照组患者为4.7±1.1d、7.3±2.4d;观察组患者耐受例数明显多于对照组,差异明显,具有统计学意义。观察组患者达全肠内营养输注时间、脱管时长均明显短于对照组,差异明显,具有统计学意义。在机体营养方面,观察组患者术后7d时PA水平为311.3±26.8(mg/L),对照组患者为297.8±29.6(mg/L);观察组患者术后7d时PA水平明显高于对照组,差异明显,具有统计学意义。结论 :与周期性肠内营养输注方案相比,持续性肠内输注方案能够有效改善患者术后临床状况,增强患者机体营养的供给,更适合用于胃癌手术患者的肠内营养输注。
Objective: To explore the enteral nutrition infusion plan suitable for patients with gastric cancer surgery. Methods: From March 2014 to March 2016, 86 patients diagnosed as gastric cancer and undergone surgical treatment in our hospital were selected as the study objects. All patients were divided into observation group and control group according to random number table method. Among them, 43 cases in observation group and 43 cases in control group. Patients in the observation group underwent continuous enteral nutrition infusion and patients in the control group received periodic enteral nutrition infusion. The infusion time was 1 week. At the end of treatment, the basic clinical situation, body immunity index and nutritional status of the two groups of patients were collected for comparative analysis. Results: In the clinical condition, 43 patients in the observation group were all tolerated, and 41 patients in the control group were tolerated. The total enteral nutrition infusion time in the observation group was 3.4 ± 1.3d and 5.6 ± 0.8 d, the control group was 4.7 ± 1.1d, 7.3 ± 2.4d; the number of patients in the observation group was significantly more than the control group, the difference was significant, with statistical significance. The patients in the observation group reached the total enteral nutrition infusion time, the length of detachment was significantly shorter than the control group, the difference was significant, with statistical significance. In the aspect of body nutrition, PA level in the observation group was 311.3 ± 26.8 (mg / L) at 7 days after operation and 297.8 ± 29.6 (mg / L) in the control group. The PA level in the observation group at 7 days after operation was significantly higher than that in the control Group, significant difference, with statistical significance. CONCLUSIONS: Compared with periodic enteral nutrition, the continuous enteral infusion regimen can effectively improve the postoperative clinical status and enhance the supply of nutrition in patients, and is more suitable for enteral nutrition in patients with gastric cancer .