2007Henan Journal of SurgeryRequires access

Perioperative enteral nutrition in patients with cardiac cancer

Xiaoya Zhang

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Abstract

Objective To study the manageable methods,effect of perioperative enteral nutrition on cardiac cancer patients.Methods By different ways of nutritional support after operation,209 cases of cardiac cancer were randomly divided into two groups in which enteral nutrition(EN) group,146 cases,were managed with early use of nutritional support through intestine and parenteral nutrition(PN) group,63 cases,were given nutrition by way of veins.Complications,general recovery and blood biochemical criteria after operation between the two groups were compared.Results No case of anastomotic fistula occurred in the two groups.The incidence of complications in EN group was significantly lower than that in PN group(P0.01),and the occurrence of diarrhea was higher in EN group(P0.01),and the abdominal distension was not significance of difference between those two groups(P0.01).The time needed for recovery of bowel sounds,anal exsufflation,defecation and hospital stay were shorter in EN group than those in PN group(P0.01).The value of albumin,globulin and total protein were significantly higher in EN group(P0.01).But the amount of BUN,creatinine and neutrophil were significantly lower in EN group(P0.01).Conclusion Perioperative and practical,with more significant advantages than those of parenteral nutrition.

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Objective To study the manageable methods,effect of perioperative enteral nutrition on cardiac cancer patients.Methods By different ways of nutritional support after operation,209 cases of cardiac cancer were randomly divided into two groups in which enteral nutrition(EN) group,146 cases,were managed with early use of nutritional support through intestine and parenteral nutrition(PN) group,63 cases,were given nutrition by way of veins.Complications,general recovery and blood biochemical criteria after operation between the two groups were compared.Results No case of anastomotic fistula occurred in the two groups.The incidence of complications in EN group was significantly lower than that in PN group(P0.01),and the occurrence of diarrhea was higher in EN group(P0.01),and the abdominal distension was not significance of difference between those two groups(P0.01).The time needed for recovery of bowel sounds,anal exsufflation,defecation and hospital stay were shorter in EN group than those in PN group(P0.01).The value of albumin,globulin and total protein were significantly higher in EN group(P0.01).But the amount of BUN,creatinine and neutrophil were significantly lower in EN group(P0.01).Conclusion Perioperative and practical,with more significant advantages than those of parenteral nutrition.

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Available abstract

Objective To study the manageable methods,effect of perioperative enteral nutrition on cardiac cancer patients.Methods By different ways of nutritional support after operation,209 cases of cardiac cancer were randomly divided into two groups in which enteral nutrition(EN) group,146 cases,were managed with early use of nutritional support through intestine and parenteral nutrition(PN) group,63 cases,were given nutrition by way of veins.Complications,general recovery and blood biochemical criteria after operation between the two groups were compared.Results No case of anastomotic fistula occurred in the two groups.The incidence of complications in EN group was significantly lower than that in PN group(P0.01),and the occurrence of diarrhea was higher in EN group(P0.01),and the abdominal distension was not significance of difference between those two groups(P0.01).The time needed for recovery of bowel sounds,anal exsufflation,defecation and hospital stay were shorter in EN group than those in PN group(P0.01).The value of albumin,globulin and total protein were significantly higher in EN group(P0.01).But the amount of BUN,creatinine and neutrophil were significantly lower in EN group(P0.01).Conclusion Perioperative and practical,with more significant advantages than those of parenteral nutrition.

Key concepts: Medicine, Parenteral nutrition, Perioperative, Exsufflation, Creatinine, Defecation, Enteral administration, Incidence (geometry)

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