| Objective:To explore the application of the early enteral and parenteral nutrition support after operation on the elderly
patients with gastric carcinoma, to provide clinical guidance for the prognosis of the patients.Methods:152 cases of elderly patients with
gastric cancer in our hospital fromAugust in 2010 August to August in 2013, were divided into enteral nutrition group (Enteral nutrition,
EN) (51 cases), parenteral nutrition group (Parenteral nutrition, PN) (51 cases), and EN + PN group (50 cases). The complications,
nutritional index, serum index and hospitalization of patients after operation among three groups were compared, and the best nutrition
support for elderly patients with gastric carcinoma after operation was analyzed.Results:The recovery time of gastrointestinal function
was (46.3± 5.2) h in EN group , (51.4± 7.3) h in PN group, and (41.9± 4.4) h in EN + PN group, and it was significantly lower in EN +
PN group than that of the other two groups. The level of postoperative albumin, transferrin, prealbumin and CD8 had no statistical
difference (P > 0.05), while the serum C reactive protein and CD4 in EN + PN group was significantly lower than that of the other two
groups, and the level of CD3, CD4/CD8 was significantly higher than the other two groups (P < 0.05); the infectious complication rate
and hospital stay in EN + PN group were significantly lower than the other two groups (P < 0.05), but the cost of treatment wasbetween
EN group and PN group.Conclusion:EN combined with PN sequential support has high efficiency, reasonality, economy, safety and
other advantages. It can promote the recovery of digestive and absorptive function of patients, and improve the prognosis and quality of
life, and is worthy to be popularized in clinic. |
