The Curative Effect Observation Of Early Enteral-intestinal Nutrition And Parenteral-intestinal Nutrition Combined Applied In Gastric Cancer After Operation

Objective Gastric cancer is one common gastrointestinal tumor in our country, the surgical resection is still the main treatment. Due to the effect of consumption of the surgical trauma and tumor itself, often seriously affects patients’ nutritional status and immune function, so the early nutrition support can effectively improve the patient’s nutritional deficiencies, and improve the immunity, promote postoperative recovery of patients. Enteral nutrition and parenteral nutrition support are commonly used ways of postoperative nutritional support, but there are advantages and disadvantages in clinical application. This study was to investigate the early enteral nutrition and parenteral nutrition combined applied in gastric cancer after operation, clinical curative effect and application value.Methods1.Object 200 cases-operative patients with gastric cancer in Feicheng Mining Group Center Hospital from July 2008 to June 2012 were divided into enteral nutrition and parenteral nutrition combined (EN+PN) group (n=77) and total parenteral nutrition (TPN) group (n=51).2.Observation index The length of the recovery of gastrointestinal movement (the exhaust time from anus) and hospital stay, the costs associated with the nutrition in hospital, the consumption of weight, incidence of complications, and nutritional indicators as hemoglobin (HGB), albumin (ALB) and prealbumin (PA).3.Statistical analysis Statistical software SPSS 18.0 was used for data analysis. P<0.05 presents significant difference.Results Through the comparative analysis, the PN+EN nutrition applied in patients after operation had slightly shortened the length of hospital stay, the exhaust time from anal was ahead of the TPN group, the related consumption level of weight also had sharply reduced, (P<0.05), there is statistical significance. The hemoglobin, albumin and prealbumin in two groups of patients after operation were decreased, after treatment of 6-9 days in the different supplement ways, the nutritional indicators had risen, the PN+EN group had more quickly risen than the control group, (P<0.05), there is statistical significance. Average costs associated with the nutrition in hospital, compared with TPN group, average costs in PN+EN group had decreased significantly (P<0.05).17 cases of postoperative complications occurred in PN+EN group, accounting for 22%. The TPN group has 25 cases of postoperative complications, accounting for 49%. The difference between the two groups was very significant (P<0.05).Conclusion Early postoperative enteral nutrition and parenteral nutrition combined applied in gastric cancer after operation can effectively reduce the incidence of complications of parenteral nutrition and the consumption of weight, and can shorten the length of gastrointestinal movement recovery and hospital stay, lower costs associated with the nutrition, improve patients postoperative nutritional indicators, has good clinical effect.