| 术前和术后肠内营养对胃癌患者术后营养状况及免疫功能的影响 |
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| 引用本文： | 王宏星,夏艳,邵少英.术前和术后肠内营养对胃癌患者术后营养状况及免疫功能的影响[J].西安交通大学学报(医学版),2011,32(3):375-378. |
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| 作者姓名： | 王宏星 夏艳 邵少英 |
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| 作者单位： | 南通大学第三附属医院临床营养科,江苏无锡,214041 |
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| 摘 要： | 目的研究术前一周开始肠内营养(enteral nutrition,EN)支持对胃癌患者术后营养状况、免疫功能及炎性反应的影响。方法将126例胃癌患者随机分为术前一周开始EN组(研究组)和术后早期EN组(对照组),分别按不同治疗方案进行营养支持至手术后第9天。所有患者均于术前、术后第1、10天测量体重、皮褶厚度、上臂围、血白细胞计数(WBC)、白蛋白(ALB)、前白蛋白(PA),C反应蛋白(C-reactive protein,CRP)、体液免疫(IgAI、gG)、T细胞亚群(CD4、CD8、CD4/CD8)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)等。结果术后第10天研究组前白蛋白和IgG水平高于对照组,IL-6低于对照组。结论对胃癌患者术前进行合适的EN支持,能更好地改善患者术后的营养状况、免疫功能并减轻患者机体炎性反应,更有利于促进患者恢复。
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| 关 键 词： | 肠内营养 术前 胃癌 免疫 |
Influence of enteral nutrition during the preoperative and postoperative periods on postoperative nutritional status and immunologic function in patients with gastric cancer |
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| WANG Hong-xing,XIA Yan,SHAO Shao-ying.Influence of enteral nutrition during the preoperative and postoperative periods on postoperative nutritional status and immunologic function in patients with gastric cancer[J].Journal of Xi‘an Jiaotong University:Medical Sciences,2011,32(3):375-378. |
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| Authors: | WANG Hong-xing XIA Yan SHAO Shao-ying |
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| Institution: | WANG Hong-xing,XIA Yan,SHAO Shao-ying (Department of Clinical Nutrition,the Third Affiliated Hospital of Nantong University,Wuxi 214041,China) |
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| Abstract: | Objective To study the effect of enteral nutrition(EN) support starting one week before operation on the postoperative nutritional status,immune function and inflammatory reaction of gastric cancer patients.Methods A total of 126 patients with gastric cancer were randomized to receive either preoperative enteral nutrition(study group) or an early postoperative enteral nutrition(control group).The two groups received the enteral nutrition for nine days after the operation.The weight,thickness of rhicnosis,up... |
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| Keywords: | enteral nutrition preoperation gastric cancer immunity |
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