【摘 要】目的：探讨老年患者术后因胃癌行全胃切除术的早期肠内营养的可行性及疗效。方法：对2009年3月～2011年3月因胃癌行全胃切除的63例老年患者，术后随机分为早期肠内营养(EEN)组32例与肠外营养(PN)组31例，并进行比较分析。结果：EEN组与PN组的术后营养指标及并发症发生率比较差异无统计学意义，但EEN组较PN组术后肠道功能恢复早、住院时间短。结论：术后EEN支持治疗有较好的安全性和耐受性，有利于老年全胃切除患者肠道功能恢复，缩短患者住院时间，费用低廉，实施方便

    【关键词】胃癌；全胃切除术；胃肠内护理；胃肠外护理

    【中图分类号】R 656.61 【文献标识码】A 【文章编号】1004-7484(2012)04- 0003- 02

    【Abstract】Objective：to study the older patients because of stomach cancer do the whole stomach after resection of early enteral nutrition of the feasibility and efficacy.Methods：in March 2009 to March 2011 for gastric cancer of the stomach to excise do the whole 63 cases of older patients,postoperative randomly divided into early enteral nutrition(EEN)group of 32 cases with parenteral nutrition(PN)group,and 31 cases of comparison and analysis. Results：EEN group and the postoperative nutrition index PN group and complication rate of comparative differences was statistically significant,but EEN after a group of PN bowel function recovery early,shorter hospitalization time.Conclusion：treatment of postoperative EEN support has good safety and tolerability,be helpful for elderly patients with all the stomach to excise bowel function recovery,shorten the patient in time,cheap,easy implementation ......