序贯早期肠内营养对胃癌患者术后康复和并发症的影响

Dongchou Han, Qiya Feng, Yingmei Fu, Feijian Zhang, Dazhen Chen, Junmei Wu
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摘要

目的分析胃癌患者术后连续早期肠内营养的效果。方法随机选取 2021 年 10 月至 2023 年 10 月期间接受治疗的 139 例胃癌患者,将其分为两组:A组(68例,接受早期肠内营养)和B组(71例,接受连续早期肠内营养),采用计算机随机分配法。比较两组干预措施的效果。结果显示术后七天,B 组的营养指标水平明显高于 A 组(P < 0.05)。术后七天,B 组的炎症因子和免疫因子水平明显优于 A 组(P < 0.05)。B 组术后并发症发生率为 4.23%,明显低于 A 组的 16.18%(χ2 = 5.477,P = 0.019)。结论胃癌患者术后使用序贯早期肠内营养可明显改善营养状况和炎症指标,同时增强免疫力,有效减少术后并发症。
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Effect of Sequential Early Enteral Nutrition on Postoperative Rehabilitation and Complications in Gastric Cancer Patients
Objective: To analyze the effect of sequential early enteral nutrition in patients with gastric cancer after surgery. Methods: A total of 139 gastric cancer patients, treated between October 2021 and October 2023, were randomly selected and divided into two groups: Group A (68 cases, receiving early enteral nutrition) and Group B (71 cases, receiving sequential early enteral nutrition), using computer randomization. The effects of the interventions on both groups were compared. Results: Seven days post-operation, the levels of nutritional indicators in Group B were significantly higher than those in Group A (P < 0.05). Group B showed significantly better levels of inflammatory factors and immune factors compared to Group A seven days post-operation (P < 0.05). The postoperative complication rate in Group B was 4.23%, significantly lower than that in Group A, which was 16.18% (χ2 = 5.477, P = 0.019). Conclusion: The utilization of sequential early enteral nutrition in gastric cancer patients after surgery demonstrated notable improvements in nutritional status and inflammation markers, along with enhanced immunity, effectively reducing postoperative complications.
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