Clinical study and nursing care on early feeding enteral nutrition of postoperative esophageal cancer patients with nasointestinal tube

Objective To investigate the effect of early feeding enteral nutrition on the condition of nutrition,immunologic function and normalized nursing care of esophageal cancer patients.Methods Totals of 79 patients with esophageal cancer were randomly divided into the group of enteral nutrition (EN group,40 cases) and parenteral nutrition group (PN group,39 cases).All the subjects were treated the same conditional nutrition support and normalized nursing care after operation.Evacuating time and incidence of complication in two groups were observed and relative laboratory parameters were measured prior to surgery (preoperative) and on 3rd and 7th day after operation.Results Evacuating time of EN group was shorter than that of PN group significantly [(4.1 ± 2.2) vs (5.1 ± 2.0) days ; t =2.156,P =0.037],the serum level of prealbumin (in EN group on seven days postoperatively was improved than that in PN group [(20.97 ±6.14) vs (14.44 ± 7.43)mg/dl;t =2.533,P =0.015].The improvement of lymphocyte count in EN group was better than that of PN group [(1.67 ± 0.52) × 109 vs (1.40 ± 0.49) x 109/L],and the difference was statistically significant (t =2.243,P =0.028).The incidence of postoperative alimentary dysfunction in EN group lower than that in PN group (2.5％ vs 15.4％ ; x2 =4.059,P =0.044).Conclusions It is safety and convenience to carry early postoperative enteral nutrition support to patients with esophageal cancer after operation.The improvement of nutritional status and immunologic levels of early enteral nutrition was better than that of parenteral nutrition support. Key words: Esophygeal neoplasms; Parenteral nutrition; Nursing; Enteral nutrition