Analysis of the Effect of Early Enteral Nutritional Support on Postopera-tive Blood Glucose Levels and Nutritional Status in Patients with Gastric Cancer Combined with Diabetes Mellitus
Objective To investigate the effects of early enteral nutritional support on postoperative blood glucose level and nutritional status in patients with gastric cancer combined with diabetes mellitus.Methods A total of 108 patients with gastric cancer combined with diabetes admitted to Quanzhou Guangqian Hospital from October 2022 to September 2023 were selected as the study objects,and they were divided into enteral group and parenteral group ac-cording to random number table method,with 54 cases in each group.The parenteral group received total parenteral nutrition support,and the enteral group received early enteral nutrition support.The indexes of glucose metabolism and nutrients 1 day before surgery,3 and 7 days after surgery and the healing of surgical incision 7 days after surgery were compared between the two groups.Results On 3 and 7 days after surgery,fasting blood glucose levels and 2-hour postprandial blood glucose levels in the enteral group were lower than those on day 1 before surgery,while those in the parenteral group were higher than those on day 1 before surgery,and those in the enteral group were lower than those in the parenteral group,and the differences were statistically significant(all P＜0.05).On 3 and 7 days after sur-gery,compared with 1 day before surgery,the levels of serum total protein,albumin and prealbumin in 2 groups were decreased,and the levels of all indexes in enteral group were higher than those in parenteral group,and the differ-ences were statistically significant(all P＜0.05).On the 7th day after operation,the healing rate of incision in enteral group was higher than that in parenteral group,and the difference was statistically significant(P＜0.05).Conclusion Early enteral nutritional support can improve the postoperative glucose metabolism function,alleviate the loss of nutri-ents,and improve the healing rate of surgical incision in patients with gastric cancer combined with diabetes mellitus.
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