Early Enteral Nutrition in Postoperative Patients with Gastric Cancer in the Elderly Tolerance Analysis and Exploration of Clinical Application

Abstract：Objective:To explore the effects in elderly patients with gastric cancer early postoperative enteral nutrition (EEN) tolerance factor,and EEN joint parenteral nutrition (PN) in elderly patients with gastric cancer application prospect.Method:Select the author’s hospital treated 82 cases of elderly patients with gastric cancer and its line of surgery,postoperative nutritional support,the points in accordance with the principle of random,voluntary EEN+PN group,total parenteral nutrition(TPN) group. Detection of two groups of patients with gastrointestinal function recovery,complications and related indicators. And tolerance of EEN Logistic multifactor regression analysis.Result:EEN+PN group of gastrointestinal function recovery time was shorter than the TPN group,the difference was statistically significant (P<0.01). In the two groups had no deaths and complications is similar between the two groups has no statistical significance (P>0.05). The average length of hospital stay in EEN+PN group was shorter compared with TPN group,the difference was statistically significant (P<0.05);after 7 days in EEN+PN group test indexes improve significantly in the TPN group,the difference was statistically significant (P<0.05). The factors influencing postoperative EEN tolerance in elderly patients with gastric cancer:surgery way,infusion of nutrient solution concentration and the amount.Conclusion:It is easy for patients with standing EEN after gastrojejunostomy. EEN could be well used in elderly patients if concentration and volume of the solution were appropriately controlled.Comparing with parenteral nutrition,enteral nutrition is more of in line with the physiological state. Early enteral nutrition support has more advantages in elderly patients,sachas quick recovery of gastrointestinal function,shrinking time during hospital,improving on nutritional and immunologic function etc.,so it is suitable for clinical promotion.