| Objective: To discuss the influences towards patients’ body functionalrecovery under the early stage of enteral nutrition connects with parenteralnutrition after the colon cancer operation.Methods:1.Choose56cases of different age groups and different ways of operation(laparoscopic and traditional open operation) of patients with colon cancer surgery.2. Divide them into two groups in odd number or even numbers and each withthe member of28. One is observation group (enteral nutrition connects withparenteral nutrition), another is compare group (purely parenteral nutrition).3.Joint parenteral nutrition support and fewer ten patients experienced septiccomplications from colon cancer postoperative intravenous give10%glucose and20%fat emulsion injection at the early stage of enteral nutrition connects withparenteral nutrition after their colon cancer operation. After36hours, start frombeing able to drop in through jejunum nubrient canal or oral administration for7days, at the same time decrease the parenteral nutrition support gradually. Thecompare group uses10%glucose,20%fat emulsion and amino acid and so on afterthe colon cancer operation. At the second day after the operation, use “three bags”and supply electrolyte, vitamin and microelements and so on for4-6days.4.Observe two groups of patients after surgery with and without the occurrenceof anastomotic leakage.5.Nausea and vomiting and abdominal pain and other complications wereobserved.6.Before fully automatic biochemical analyzer test in patients with protein,liver function, blood sugar, and fully automatic blood corpuscle instrument to detectbiochemical indexes such as hemoglobin.Results:1.Observation group anastomotic leakage occurred in1case, the control group anastomotic leakage occurred in2cases (P>0.05).2.Abdominal pain abdominal distension and nausea and vomitingcomplications such as observation group and control group no significant difference(P>0.05)。3. The postoperative day7set of prealbumin (204.11±47.38mg/L) andalbumin (42.51±7.93g/L) there was no significant difference compared withpreoperative (203.27±68.24mg/L and39.23±3.16g/L)(P>0.05); While in thecontrol group after7days prior to the albumin (168.16±48.56mg/L) and albumin(35.53±2.58g/L) for preoperative significantly reduce (196.48±54.23mg/L and39.36±2.06g/L)(P <0.05); Postoperative observation group seventh day before thealbumin (204.11±47.38mg/L) and albumin (42.51±7.93g/L) is significantlyhigher than the control group (168.16±48.56mg/L and35.53±2.58g/L)(P <0.05).4.Cereal third transaminase and hemoglobin before surgery, postoperative day7in the observation group (41.36±4.38IU/L,42.64±5.21IU/L and135.31±8.62g/L,136.72±6.48g/L) and control group (42.28±3.96IU/L,41.25±4.92IU/L and136.24±9.52g/L,137.12±5.43g/L) there was no significant difference between (P>0.05).5. Observe group of surgery before and after the blood sugar stable, and on theseventh day after blood sugar was6.21±0.24tendency/L; Control group before andafter surgery unstable blood glucose, and on the seventh day after blood sugar was8.34±1.14tendency for L, its comparison with the observation group wasstatistically significant (P <0.05).6. Observation group after the operation, the anus exhaust time was51.40±4.90h, while the control group was70.32±5.70h, anal exhaust time comparing thetwo groups have significant difference (P <0.05).7. Observation group hospitalization costs$32469.54±3623.26and10.15±1.66days in hospital time, the control group hospitalization cost36698.62±4452.49yuan and hospitalized time13.75±1.94days decreased significantly and shortened(P <0.05).8.Postoperative day78. Observation group fatigue index was3.51±0.73 points, after the first day was7.95±0.64points (P <0.05), while the control group inthe seventh day after6.72±0.72points, after the first day was7.89±0.61points (P>0.05); Observation group and control group in the seventh day after fatigue indexhad significant difference (P <0.05).Conclusion:1. Early enteral nutrition in combination with parenteral nutrition caneffectively shorten the patient anal exhaust time, promote the recovery of intestinalfunction.2. Early enteral nutrition in combination with parenteral nutrition caneffectively improve former biochemical indicators of albumin, and albumin.3. Early enteral nutrition in combination with parenteral nutrition caneffectively promote the postoperative patients with the stability of blood sugar,reduce the postoperative patients of stress state.4. Early enteral nutrition with parenteral nutrition may effectively reducepostoperative patients with fatigue index, promote clinical rehabilitation of patients.5. Early enteral nutrition with parenteral nutrition may reduce in-hospital timeand hospitalization expenses. |
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