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首页> 外文期刊>Experimental and therapeutic medicine >Early enteral nutrition and total parenteral nutrition on the nutritional status and blood glucose in patients with gastric cancer complicated with diabetes mellitus after radical gastrectomy
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Early enteral nutrition and total parenteral nutrition on the nutritional status and blood glucose in patients with gastric cancer complicated with diabetes mellitus after radical gastrectomy

机译：胃癌患者营养状态和血糖的早期肠内营养和全肠胃外营养，胃癌胃癌患者胃癌混合后胃癌

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摘要

Effects of early enteral nutrition (EEN) or total parenteral nutrition (TPN) support on nutritional status and blood glucose in patients with gastric cancer complicated with diabetes mellitus after radical gastrectomy were investigated. One hundred and twenty-nine patients with gastric cancer complicated with diabetes mellitus type 2 admitted to the First People's Hospital of Jinan (Jinan, China), from June 2012 to June 2016 were selected into the study. According to different nutrition support pathways, these patients were randomly divided into the EEN group and the TPN getup. The improvement of nutritional indexes, postoperative complications, gastrointestinal function recovery and perioperative blood glucose fluctuation were compared between the two groups. On the 4th day after operation, the improvement levels of total bilirubin (TBL), alanine aminotransferase (ALT), aspartate transaminase (AST), total protein (Tr), prealbumin (PAB), hemoglobin (HGB) and weight (Wt) in the EEN group were significantly higher than those in the conventional group (P0.05). There were no significant differences between the two groups on the 8th day after operation (P0.05). No patients had complications in the EEN group, while a total of 29 patients in the TPN group suffered adverse reactions, indicating that the incidence rate of complications in the EEN group was significantly lower than that in the TPN group (P0.05). The postoperative evacuation time was earlier, hospitalization time was shorter and cost of postoperative hospitalization was less in the EEN group than those in the TPN group, and the differences were statistically significant (P0.05). The blood glucose fluctuation values at fasting and 2 h after a meal in the TPN group were higher than those in the EEN group within 8 days after operation, and the differences were statistically significant (chi(2) =13.219, P=0.002; chi(2) =20.527, P0.001). EEN support provides nutrition for patients with gastric cancer complicated with diabetes mellitus after radical gastrectomy, which is worthy of clinical promotion as it maintains good nutritional status, produces few postoperative complications and keeps the blood glucose level stable, by which the postoperative evacuation time is early, the hospitalization time is short and the cost is low.
机译：研究了早期肠内营养（EEN）或全肠胃外营养（TPN）对胃癌患者营养状况和血糖的影响，研究了胃癌，胃癌自由基胃切除术后胃癌。一百二十九二九二年胃癌的胃癌2患者入学于2012年6月至2016年6月晋南济南第一人民医院，从2016年6月入学。根据不同的营养支持途径，将这些患者随机分为耳组和TPN成因。两组比较了两组之间的营养指标，术后并发症，胃肠功能恢复和围手术期血糖波动的改善。在操作后第4天，总胆红素（TBL），丙氨酸氨基转移酶（ALT），天冬氨酸转氨酶（AST），总蛋白质（TR），预热（PAB），血红蛋白（HGB）和重量（WT）的肝氨酰氨基氨基酶（ALT），血红蛋白（HGB）和重量（WT）。艾恩组明显高于常规组（P <0.05）中的群体。两组在术后第8天之间没有显着差异（P＆GT; 0.05）。没有患者在艾恩组中具有并发症，而TPN组共有29名患者遭受不良反应，表明，艾恩组的并发症发病率明显低于TPN组（P <0.05）。术后疏散时间较早，住院时间短，术后住院的成本比TPN组的术后较少，差异有统计学意义（P <0.05）。 TPN组膳食后禁食和2小时血糖波动值高于术后8天内的血液组，差异有统计学意义（Chi（2）= 13.219，p = 0.002; Chi （2）= 20.527，P <0.001）。艾恩支持为胃癌患者提供胃癌患者的营养，该患者在激进胃切除术后，这是值得临床促进，因为它保持良好的营养状况，产生很少的术后并发症并保持血糖水平稳定，术后疏散时间很早，住院时间短，成本低。

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