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目的:评估快速流程模式下胃癌病人肠内营养(EN)的疗效。方法:前瞻性研究被确诊为胃癌的200例病人临床资料,按照管理模式将病人分为快速流程组(n=104)和传统流程组(n=96)。两组病人术后均使用6 d的EN支持治疗。结果:两组纳入病人的基本资料相似(P>0.05)。在术后胃肠功能恢复情况中,快速流程组病人术后首次排气排便、拔除引流管时间、拔除导尿管时间、首次下床活动、术后住院时间等均短于传统流程组,两组差异均有统计学意义(P<0.05或P<0.01)。两组病人重度腹泻、肺部感染、切口感染发生率、吻合口瘘差异均有统计学意义(P<0.05)。结论:快速流程模式下胃癌病人术后应用EN,有利于改善病人的营养状况,促进术后康复,缩短住院时间,且减少术后并发症发生率。
Objective: To assess the efficacy of enteral nutrition (EN) in gastric cancer patients under rapid-flow mode. METHODS: A prospective study was performed on the clinical data of 200 patients diagnosed with gastric cancer. The patients were divided into a rapid flow group (n=104) and a conventional flow group (n=96) according to the management model. Both groups received 6 days of EN support after surgery. Results: The basic data of the two groups were similar (P>0.05). In the postoperative recovery of gastrointestinal function, patients in the fast-moving group had the first postoperative defecation, the time for removing the drainage tube, the time for catheter removal, the first time out of bed, and the postoperative hospital stay. These were shorter than the traditional group. Differences in the groups were statistically significant (P<0.05 or P<0.01). Severe diarrhea, pulmonary infection, incision infection incidence, and anastomotic leakage were statistically significant in both groups (P<0.05). Conclusion: The application of EN in patients with gastric cancer after rapid procedure mode is beneficial to improve the patient’s nutritional status, promote postoperative recovery, shorten hospital stay, and reduce the incidence of postoperative complications.