Comparative study of enteral nutrition in gastric cancer after operationChinese Full Text
TANG Qin-qing;LE Jian-jun;CAO Xian-dong;Department of General Surgery, the First Affiliated Hospital of Anhui Medical;Department of General Practice, the First Affiliated Hospital of Anhui Medical;
Abstract: Objective: To compare the effects of different types of enteral nutrition（EN） on nutritional status and tolerance of patients with gastric cancer after operation. Methods: The data of those patients who were diagnosed gastric cancer that admitted to Gastrointestinal Surgery Department of the First Affiliated Hospital of Anhui Medical University from November 2017 to February 2021 were collected. Blood indicators（total protein, albumin, prealbumin,hemoglobin） before operation, before EN, after EN, fasting time, abdominal cavity drainage extubation time, EN start time, EN use time, postoperative hospital stay and cost were analyzed. Results: A total of 125 patients were enrolled who were divided into SP（28 cases） group, TPF（26 cases） group, and TP（71 cases） group. The results of total protein,albumin, prealbumin and hemoglobin were statistically different before and after enteral nutrition（P ＜ 0.05）.Additionally, the enteral nutrition cost of the three groups was statistically different（P ＜ 0.05）. There were no significant fifferences in the results of total protein, albumin, albumin and hemoglobin before and after enteral nutrition, fasting time, abdominal cavity drainage extubation time, EN start time, EN use time, postoperative hospital stay among the three groups（P ＞ 0.05）. The tolerance of SP was the best in three groups. The cost of enteral nutrition from high to low was SP, TPF and TP, respectively. Conclusion: SP, TPF and TP can improve the nutritional status of postoperative patients with gastric cancer after operation. Short peptide enteral nutrition should be selected in the early phase after operation.TP or TPF can be used when anal exhaust is restored and intestinal digestion and absorption function is normal. TPF is more comprehensive in nutrition, while TP is cheaper than TPF. If the patient’s economic conditions allows, TPF should be used at this time.
- DOI：
10.16151/j.1007-810x.2021.03.005
- Series：
(E) Medicine ＆ Public Health
- Subject：
Surgery; Clinical Medicine; Oncology
- Classification Code：
R735.2;R459.3
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