【摘要】 目的 探讨远端胃癌根治术后早期经口进食的可行性、安全性及术后早期康复情况。 方法 将2009年5月-2011年1月收治的62例远端胃癌根治术患者随机分为早期经口进食（early oral feeding，EOF，30例）组及传统进食（traditional feeding，TF，32例）组。比较两种营养支持方法对患者术后并发症、胃肠功能恢复及血清蛋白的影响。 结果 EOF组术后早期经口进食耐受率达90%（27/30），两组术后并发症发生率相比差异无统计学意义（χ2=0.046，P=0.830）。EOF组术后首次肛门排气及排便时间均早于TF组（P=0.000）。术后8 d时EOF组血清前清蛋白和转铁蛋白明显高于TF组（P=0.028，0.013）。 结论 远端胃癌根治术后早期经口进食是安全、可行的，能促进患者的早期恢复。
【Abstract】 Objective To discuss the feasibility and safety of early oral feeding after curative surgery for distant gastric cancer, and investigate whether it has an effect on early recovery of the disease. Methods From May 2009 to January 2011, 62 distal gastric cancer patients with open radical resection were divided into the early oral feeding group (EOF group, n=30) and traditional feeding group (TF group, n=32) randomly. We compared the complication rate, gastrointestinal function recovery, serum protein change before and after operation between the two groups. Results Early oral feeding can be tolerated by as much as 90% (27/30) of the patients in EOF group. There was no significant difference in the postoperative complication rate between the two groups (χ2=0.046, P=0.830). The EOF group had a faster onset of flatus and defecation than the TF group (P=0.000). The serum pre-albumin and transferrin were significantly higher in the EOF group than those in the TF group 8 days after operation (P=0.028,0.013). Conclusion Early oral feeding after curative surgery for distal gastric cancer is safe and feasible, and can promote early rehabilitation of the patients.
Citation： LIU Bin,CHEN Jinhui,HUANG Shifeng. Application of Early Oral Feeding after Curative Surgery for Distal Gastric Cancer. West China Medical Journal, 2011, 26(11): 1666-1668. doi: Copy