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目的:研究原发性肝癌患者术后两种营养支持的疗效及对免疫功能的影响。方法:病例选自2010年10月至2012年11月在我院就诊治疗的90例经诊断为原发性肝癌并进行肝部分切除的患者,随机分为EN组和PN组,每组各45例,分别进行肠内和肠外营养支持治疗,观察术前及术后患者的营养状况、住院时间、肠道功能恢复时间、并发症情况及免疫功能的变化,经统计学处理,探讨两种不同营养支持疗法的临床疗效及对免疫功能的影响。结果:相对于PN组,EN组患者术后营养明显改善,胃肠道功能恢复相对较快,免疫功能明显提高,术后并发症明显减少,且P<0.05。差异具有统计学意义。结论:早期EN比PN更能改善肝癌病人术后肠道功能及营养状况,降低术后并发症,提高患者的免疫功能,有利于患者术后恢复。
Objective: To study the curative effect of two kinds of nutritional support on patients with primary hepatic cancer and its influence on immune function. Methods: Ninety patients diagnosed with primary liver cancer and partial hepatectomy who were treated in our hospital from October 2010 to November 2012 were randomly divided into EN group and PN group, with 45 cases in each group Cases, respectively, enteral and parenteral nutrition support treatment, observation of preoperative and postoperative nutritional status, hospital stay, intestinal function recovery time, complications and immune function changes, the statistical analysis to explore two Clinical effects of different nutritional support therapies and their effects on immune function. Results: Compared with PN group, the nutrition of EN group significantly improved after operation, gastrointestinal function recovery was relatively fast, immune function was significantly improved, postoperative complications were significantly reduced, and P <0.05. The difference was statistically significant. CONCLUSIONS: Early EN can improve the postoperative intestinal function and nutritional status of patients with liver cancer, reduce postoperative complications and improve the immune function of patients with liver cancer, which is in favor of postoperative recovery.