Postoperative early enteral nutrition in elderly patients with total gastrectomy
- VernacularTitle:老年人全胃切除术后的早期肠内营养支持
- Author:
Sizeng CHEN
;
Yongkun LIN
- Publication Type:Journal Article
- Keywords:
Gastrectomy;
Enteral nutrition
- From:
Chinese Journal of Geriatrics
2003;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of postoperative early enteral nutrition in the elderly patients with total gastrectomy. Methods Fifty seven elderly patients with total gastrectomy were divided into postoperative routine nutrition(PRN), postoperative early parenteral nutrition(PEPN), and postoperative early enteral nutrition(PEEN) groups. The levels of serum albumin(ALB), transferrin(TF), pre-albumin(PA), CD3, CD4, CD8, CD4/CD8 were detected 1 day before(PRED 1 ) and 9 days after(POD 9 ) operation, and the postoperative infectious complications were observed , and the length of hospital stay(LOS) and the cost of nutritional support were determined. Results The levels of ALB, TF, PA, CD3, CD4 and CD4/CD8 on POD 9 were (34.3?3.5)g/L, (1.7?0.2)g/L, (258.8?20.2)mg/L,(39.7?5.4)%,(34.3?4.0)% and (1.5?0.3) in PEPN as well as (33.9?3.1)g/L, (1.7?0.2)g/L, (260.5?24.7)mg/L, (42.8?6.5)%, (37.2?4.5)% and (1.7?0.2) respectively, which were all significantly lower than (29.5?3.0)g/L, (1.3?0.2)g/L, (235.4?13.9)mg/L, (34.8?5.0)%, (30.4?4.4)% and (1.2?0.2) in RN group (all P
