食管癌术后肠内营养支持研究现状
史艳萍,郑蔚
摘要(Abstract)：
<正>食管癌是一种常见的消化道癌肿,其发病率在消化道恶性肿瘤中仅次于胃癌,我国是世界上食管癌高发地区之一[1]。食管癌患者由于术前存在不同程度的吞咽困难、摄入量不足;术后又需禁饮禁食,故患者代谢与营养失调的问题特别值得关注[2]。以前采用全胃肠外营养对食管癌术后患
关键词(KeyWords)： 食管癌;肠内营养;营养支持
基金项目(Foundation):
作者(Author): 史艳萍,郑蔚
参考文献(References)：
- [1]曹伟新,李乐之,主编.外科护理学[M].第4版.北京:人民卫生出版社,2007:432-433.
- [2]Odelli C,Burgess D,Hughes A,et al.Nutrition support im-proves patient outcomes,treatment tolerance and admissioncharacteristics in oesophageal cancer[J].Clinical Oncology,2005,(17):639.
- [3]文彦,罗芙蓉.肠内营养在食管癌手术后的应用及护理[J].护理实践与研究,2008,5(2):28.
- [4]Gabor S,Renner H,Matzi V,et al.Early enteral feeding com-pared with parenteral nutrition after oesophageal or oesopha-gogastric resection and reconstruction[J].Br J Nutr,2005,93(4):509-513.
- [5]Carr CS,Ling KD,Boulos P,et al.Randomized trial of safetyand efficacy of immediate postoperative enteral feeding in pa-tients undergoing gastrointestinal resection[J].BMJ,1996,312(7035):869-871.
- [6]Mohammad R,Nahid N.Comparison of early enteral feedingversus parenteral nutrition after resection of esophageal cancer[J].2008.06.009.
- [7]Aiko S,Yoshizumi Y,Sugiura Y,et al.Beneficial effects of im-mediate enteral nutrition after esophageal cancer surgery[J].Surg Today,2001,31(11):971-978.
- [8]Dervenis C,Avgerinos C,Lytras D,et al.Benefits and limita-tions of enteral nutrition in the early postoperative period[J].Langenbecks,Arch Surg,2003,387(11/12):441-449.
- [9]Krby DF,Teran JC.Enteral feeding in critical care,gastroin-testinal diseases,and cancer[J].Gastrointest Endosc Clin Am,1998,8(3):623-643.
- [10]陈剑,李根水,周新涛等.食管癌术后早期肠内营养的临床研究[J].安徽卫生职业技术学院学报,2010,9(3):30.
- [11]尤俊,秦维霞,吴培仁等.老年食管贲门癌术后早期肠内营养与肠外营养疗效的对比研究[J].肠外与肠内营养,2010,17(2):79.
- [12]刘平兰,王青,刘颖.食管癌术后早期肠内营养的疗效观察[J].护理实践与研究,2010,7(10):28.
- [13]董莹莹,许灵娇,包小青.食管贲门癌患者术后早期肠内营养的护理[J].现代中西医结合杂志,2010,19(13):1654.
- [14]Gramlich L,Kiehian K,Pinilla J,et al.Does enteral nutritioncompared to parenteral nutrition result in better outcomes incritically ill adult patients?A systematic review of the litera-ture[J].Nutrition,2004,20:843-848.
- [15]樊秀叶.食管癌和胃癌患者术后肠内营养支持护理体会[J].中国临床营养杂志,2008,16(2):111.
- [16]黄琳,吴辰,李玉珍.肠内营养制剂的新进展及其安全应用[J].中国医院用药评价与分析,2010,10(5):387-388.
- [17]李元新,黎介寿.肠内营养支持的进展[J].江苏临床医学杂志,2006,6(2):91.
- [18]徐卫华,钱永跃.食管癌两切口术后病人早期行不同途径肠内营养的研究[J].肠外与肠内营养,2009,16(2):89.
- [19]邱萍萍,康明强,姜小鹰.食管癌术后早期肠内营养的研究[J].医学综述,2008,14(11):1643.
- [20]罗玉华,黄红燕,张亚男等.食管癌术后早期两种肠内营养方法的对比研究[J].护理实践与研究,2009,6(16):11.
- [21]刘素娥,李梅,程梅容.食管癌术后患者十二指肠营养管堵管原因及护理[J].护理学报,2010,17(3B):67.
- [22]朱儒红.食管癌及贲门癌术后早期肠内营养病人的护理[J].护理研究,2006,20(3B):671-672.
- [23]郑煜.食管癌和贲门癌术后早期肠内营养的实施及护理[J].肿瘤基础与临床,2008,21(2):173.
- [24]翁惠英.慢性阻塞性肺疾病机械通气患者肠内营养支持的护理[J].当代护士,2002,(5):30.
- [25]陶灵灵,王惠芳.食管癌术后肠内营养的护理体会[J].解放军护理杂志,2005,22(8):52-53.
- [26]武琦,杜招娣.肠内营养保温装置的研制及临床应用[J].中国实用护理杂志,2004,20(1):47.
- [27]黄世英,王楚华,李桂宝.45例食管癌患者术后早期应用空肠内管饲的护理[J].中华护理杂志,2007,42(9):784.
- [28]Kashyap S,Belfort R,Gastaldelli A,et al.A sustained increasein plasma free fatty acids impairs insulin secretion in nondia-betic subjects genetically predisposed to develop type 2 diabe-tes[J].Diabetes,2003,52(10):2 461-2 474.
- [29]施雅兰,戎辉,陈钟.胃癌根治术后早期肠内营养支持的护理[J].中国实用护理杂志,2006,22(11B):26.