The effect of early sequential enteral nutrition on postoperative rehabilitation in patients with gastric cancer
10.16151/j.1007-810x.2018.02.010
- VernacularTitle:序贯性早期肠内营养在胃癌病人术后康复治疗中的应用效果
- Author:
Shan WANG
1
;
Si-Tang GE
;
Ying ZHOU
;
Rui HUO
;
Lu-Gen ZUO
;
Cong-Qiao JIANG
;
Mu-Lin LIU
;
Xian-Fang LIANG
;
Wen-Qin JIAO
;
Juan LI
;
Xiu-Chuan LI
Author Information
1. 蚌埠医学院第一附属医院胃肠外科
- Keywords:
Early sequential enteral nutrition;
Postoperative rehabilitation;
Gastric cancer;
Enteral nutrition nursing;
Cooperation between doctor and nurse
- From:Parenteral & Enteral Nutrition
2018;25(2):102-106
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Our study was aimed to analyze the therapeutic effect of early sequential enteral nutrition on postoperative rehabilitation in patients with gastric cancer.Methods:Patients with gastric cancer receiving surgery at our hospital from 2016 to 2017 included and the clinical information was prospective collected and analyzed.Patients were randomly divided into two groups using random number table.Patients in group A were sequentially given amino acid type,short peptide type and then whole protein type,while those in group B received whole protein formulation only.The recovery of gastrointestinal function,postoperative systemic inflammatory response,six-minutes walking test,and enteral nutrition-related complications were compared between the two groups.Results:A total of 71 patients were included in this study (Group A 36 cases,Group B 35 cases).There was no significant difference in terms of the restart anal exhaust between the two groups (P ＞ 0.05).Patients in group A had a significantly shorter postoperative hospitalization (t =4.070;P ＜ 0.01) and the earlier restoration of oral intake than that of Group B (t =3.400;P =0.001).One week after surgery,the levels of CRP (t =2.547;P =0.013) and IL-6 (t =3.172;P =0.002) were significant lower in group A when compared with group B.In addition,patients in group A had a significant higher six minutes walk steps than those in Group B [(416.1 + 36.7) m vs (358.9 ± 32.7) m;t =6.927,P ＜ 0.01].However,no significant difference in enteral nutrition-related complications was found between the two groups (P ＞ 0.05).Conclusion:In patients with gastric cancer,early sequential enteral nutrition can effectively accelerate the postoperative rehabilitation.
