Effect of Early Enteral Nutrition on Intestinal Mucosal Permeability and Immune Function of Elderly Patients with Esophageal and Cardiac Cancer

  • Gang Wang
Keywords: Cardiac cancer; Postoperative nutrition; Intestinal mucosal permeability; Immune function

Abstract

This paperobserves the effect of early enteral nutrition on nutritional status, intestinal mucosal permeability and immune function of elderly patients with esophageal and cardiac surgery. The number of lymphocytes was (1.47±0.57) 109/L, lower than the nutrition group [(1.6±0.91)109/ L, P>0.05]; the aspartate aminotransferase of the control group was (41.28±2.79) U/L, which was significantly higher than that of the nutrition group [(31.64±5.86) U/L, P<0.05]; The acid aminotransferase was (46.19±2.15) U/L, which was significantly higher than that of the nutrition group [(35.3±3.81) U/L, P<0.05]; the serum total bilirubin was (22.92±3.03) μmol/L, significant Higher than the nutrition group [(16.2 ± 2.36) μmol / L, P <0.05]; serum binding to bilirubin was (11.68 ± 1.79) μmol / L, significantly lower than the nutrition group [(5.71 ± 2.37) μmol / L, P<0.05]; the anal exhaust time of the nutritional control group was [(70.67±21.96), h], significantly higher than that of the nutrition group [(52.76±17.82), h]; anus The time was [(83.47±13.82), h], which was significantly lower than that of the nutrition group [(66.1±8.19), h]; the average hospital stay was [(14.32±2.15), day], which was significantly higher than that of the nutrition group [ (10.35±2.03), day]. On the second day after surgery, there was no significant difference in diamine oxidase and D-lactic acid between the two groups (P>0.05). On the seventh day, D-lactic acid in the nutrition group was [(31.22±8.99) ug/mL]. Significantly lower than [(37.17±10.77) ug/mL] in the nutritional control group; diamine oxidase [(80.34±37.4) ug/mL] was lower than that in the nutritional control group [(124.47±39.59) ug/mLP<0.05]. Early enteral nutrition can effectively improve the nutritional status of patients after operation, play an effective role in protecting intestinal mucosa, and further improve the immunity of patients.

Published
2020-01-01