The effect of perioperative enteral nutritional support for the liver cancer patients undergoing precise resection under fast track process model
10.3969/j.issn.1006-5725.2014.16.031
- VernacularTitle:围手术期肠内营养在肝癌精准切除患者中的价值研究
- Author:
Guodong CHEN
;
Zijian YU
;
Gengsheng HE
;
Jiaxing LUO
;
Hanxian LI
;
Qiulin HUANG
- Publication Type:Journal Article
- Keywords:
Enteral nutrition;
Liver cancer;
Perioperative period;
Fast track;
Precise hepatectomy
- From:
The Journal of Practical Medicine
2014;(16):2622-2625
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of enteral nutritional support for the liver cancer patients with precise hepatetomy under fast track process model. Methods 82 patients were prospectively randomized into enteral nutrition group (n = 41) and parenteral nutrition (n = 41). The hemoglobin (HB), total protein (TP), albumin (ALB) and total lymphocyte count (TLC) were measured on 3 days before operation and 7 days after operation respectively. The two groups were compared in terms of time for anal exhaust and defecation after surgery , the postoperative hospital stay, the gastrointestinal adverse reactions and complications after surgery. Results The nutrition and immunity indicators on day 7 after operation were significantly poorer and lower than on day 3 before operation in the parenteral nutrition group (P<0.05); the declines of TP and ALB were significantly contained in the enteral nutrition group (P<0.05). The time for anal exhaust and defecation in the enteral nutrition group was advanced 15.1 h and 27.9 h on average, compared to the parenteral nutrition group and control group, respectively. The rate of adverse reaction was significantly lowered (17.3%vs. 40.4%, P<0.05). The rate of complications in the enteral nutrition group was significantly lower than the parenteral nutrition group (P>0.05). Conclusion Enteral nutritional support under fast track process model for the liver cancer patients undergoing precise resection could improve clinical outcome.
