Clinical study of preoperative enteral nutrition in elderly colorectal cancer patients with nutritional risk
10.3969/j.issn.1671-8348.2017.10.012
- VernacularTitle:有营养风险的老年结直肠癌患者术前肠内营养的临床研究
- Author:
Gan HE
;
Qiang YANG
;
Lian BAI
;
Zhongfu LI
;
Bin JIAN
;
Jian XIE
;
Shuai WU
;
Qigang LI
;
Ziwei WANG
- Keywords:
colorectal neoplasms;
nutritional risk;
enteral nutrition;
immunity function;
nutritional status
- From:
Chongqing Medicine
2017;46(10):1336-1338,1342
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observed the influence of preoperative enteral nutrition(EN) on postoperative nutritional status,immune function and complications in elderly patients with colorectal cancer complicating nutritional risk.Methods The NRS2002 nutritional risk screening criteria was used to select 70 elderly patients with colorectal cancer complicating nutritional risk,including 36 cases in the EN group and 34 cases in the control group.The EN support was given in the ENN group on preoperative 3 d.The levels of plasma total protein,prealbumin,albumin,transferrin,total lymphocyte count,plasma D-lactate(D-LAC) and plasma diamine oxidase (DAO) were detected on postoperative 1,3,5 7 d.The intraoperative intestinal cleanliness and postoperative complications were observed.Results The levels of plasma total protein,prealbumin,albumin,transferrin and total lymphocyte count in the EN group were significantly higher than those in the control group and the levels of D-LAC and DAO,and the incidence rates of abdominal infection and wound infection were significantly lower than those in the control group,the differences were statistically significant(P＜0.05).There was no statistically significant differences in the incidence rates of intestinal cleanliness and anastomotic leakage between the two groups (P＞0.05).Conclusion Preoperative EN support therapy in the patients with colorectal cancer complicating nutritional risk can significantly improve clinical prognosis.
