The safety and clinical efficacy studies of esophagus and cardia postoperative early enteral nutrition

Objective To explorate the clinical efficacy and security of esophagus and cardia cancer patients in the postoperative early enteral nutrition.Methods Our hospital from October 2008 to May 2012,80 cases were treated by radical surgical treatment of esophageal and gastric cardia patients for the study,the patients were randomly divided into two groups,each group of 40 patients,early enteral EN group nutrition in patients with early parenteral nutrition in patients with PN group,patients in both groups in postoperative nutrition support therapy or intravenous nutrition,observation and determination,as well as analysis and comparison of patients surgery day 1,8 nutrition indicators,while analysis patients complications occurred during the postoperative recovery situation,the time to recovery of bowel function,nutritional support treatment costs and hospital stay associated clinical indicators for statistical analysis.Results The two groups of patients after treatment of nutritional support in eight days after treatment and compared to the first day of serum total protein,prealbumin,albumin,lymphocyte count and biochemical indicators were elevated,and pre-treatment compare declined,two sets of indicators compare EN patients compared to patients in the PN group(P0.05),significantly higher(P0.05);PN patients in the postoperative recovery complications before treatment the incidence was significantly higher than the EN group(P0.05) in patients to compare the two groups of patients in the recovery of bowel function,time and cost spent in nutrition therapy,hospitalization time,and the EN group were significantly better than patients of PN group(P0.05).Conclusions The clinical early esophageal and gastric cardia patients after radical enteral nutrition support therapy with better security,and the effect is significant,while medical costs borne by patients is relatively small,and parenteral nutrition the comparative analysis,has a greater advantage,worthy of a wide range of applications in clinical and promotion.