喉癌术后应用不同肠内营养制剂的临床观察

付伟伟; 刘杰; 黄沂传; 李薇

doi:10.13201/j.issn.1001-1781.2015.06.015

喉癌术后应用不同肠内营养制剂的临床观察

- 青岛大学附属医院耳鼻咽喉头颈外科(山东青岛, 266003)

详细信息

通讯作者: 李薇,E-mail:liweishang2004@ailiyun.com

中图分类号: R739.65

收稿日期: 2014-12-03

Clinical observation of early enteral nutrition support for post-laryngectomy patients

- Department of Otorhinology-Head and Neck Surgery, the Affiliated Hospital of Qingdao University, Qingdao, 266003, China

More Information

Corresponding author: LI Wei, E-mail: liweishang2004@ailiyun.com

Received Date: 03 December 2014

摘要

摘要: 目的: 探讨喉癌患者术后早期应用不同肠内营养乳剂对营养状况的影响及临床意义。方法: 将183例喉癌术后行肠内营养的患者随机分为2组,试验组87例,给予商业制品肠内营养乳剂;对照组96例,给予自制匀浆膳。测定患者术前3 d及术后第3、7、10天营养指标:总蛋白、白蛋白、球蛋白、前白蛋白、血红蛋白、体重以及免疫功能指标即淋巴细胞,并分析术后并发症的发生率。结果: 术后第3天总蛋白、白蛋白、球蛋白两组间比较差异无统计学意义(P>0.05),术后第7、10天实验组总蛋白、白蛋白、球蛋白明显高于对照组,差异有统计学意义(P<0.05);术后3 d、7 d 2组间体重差异无明显统计意义(P>0.05),术后10 d实验组体重明显高于对照组,差异有统计学意义(P<0.05);术后血红蛋白组间比较差异无统计学意义(P>0.05);术后实验组前白蛋白、淋巴细胞计数明显高于对照组,差异有统计学意义(P<0.05);术后实验组住院日显著低于对照组,差异有统计学意义(P<0.05)。结论: 喉癌术后患者早期使用商业制品肠内营养乳剂可以有效的改善营养状况,降低并发症的发生率。
- 喉癌 /
- 肠内营养 /
- 营养状况
Abstract: Objective: To compare the postoperative nutritional status and the incidence of postoperative infection between post-laryngectomy patients with early eternal nutrition and those with normal liquid diet.Method: The observational group were given eternal nutrition while the control group were given normal liquid diet. Nutrition indicators (total protein,albumin,globulin, prealbumin,hemoglobin,body weight) and immune parameters (lymphocyte count) were measured at preoperative day 3 and postoperative day 3、7 and 10. The incidence of complications and postoperative hospitalization days were compared and analyzed.Result: Compared with the control group, the total protein,albumin and globulin of observational group had no statistic significance at postoperative day 3,the total protein,albumin,globulin of observational group were higher (P<0.05)at postoperative day 7 and 10:The body weight had no satisic significance at postoperative day 3 and 7,while observation group higher at postoperative day 10,while the hemoglobin of observational group had no statistic significance:The prealbumin and lymphocyte count had no statistic significance.The postoperative hospitalization days of the observational group was lower (P<0.05) than the control group.Conclusion: The early eternal nutrition for post-laryngectomy patients are conducive to improve of nutritional status and reduce the rate of post-operative complications.
- laryngocarcinoma /
- enteral nutrition /
- nutriture

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