目的 观察工业三腔袋“克林维”静脉营养对改善肠道肿瘤患者在行结直肠癌根治术后营养免疫状况相关指标变 化和术后住院时间长短的影响。方法 选取 2017 年 1 月 ~2017 年 8 月于重庆大学附属肿瘤医院胃肠外科行结直肠癌根治术 的患者，根据纳入排除标准，最终选择了80例患者为本研究对象。根据术后是否使用“克林维”，分为克林维组和对照组， 其中克林维组41 例，对照组39 例。两组患者的平均年龄、体重和体质指数均无显著性差异，具有可比性，在此基础上分 析术后两组患者营养免疫指标的变化情况和比较两组患者术后住院时间长短。结果 两组患者术前的白蛋白、前白蛋白和球 蛋白含量差异无统计学意义（P＞0.05）；两组患者术后1天的白蛋白、前白蛋白和球蛋白含量差异均无统计学意义（P＞0.05）； 术后7天的白蛋白、前白蛋白和球蛋白含量差异具有统计学意义（P＜0.05）；克林维组的术后平均住院时间比对照组短， 差异具有统计学意义（P ＜ 0.05）。结论 合理应用“克林维”行肠外营养治疗有利于改善患者结直肠癌根治术后的营养免 疫状况和缩短术后住院时间，提高患者生活质量。

Objective To observe the effects of industrial three-chamber bag “Clinomel” intravenous nutrition on improving the nutritional immunological indexes and shortening the length of postoperative hospital stay in patients after colorectal cancer radical surgery. Methods From January to August 2017, patients with radical resection of rectal cancer in the gastrointestinal surgery affiliated to the Affiliated Cancer Hospital of Chongqing University were selected. According to the exclusion criteria, 80 patients were selected as the objects of the study. There were 41 cases in the Clinomel group and 39 in the control group. The differences in average age, weight, and body mass index between the two groups had no statistical significance (P>0.05), and the materials had good comparability. The changes of nutritional immunological indexes in the two groups were analyzed and the length of postoperative hospital stay was compared between the two groups. Results There were no significant differences between the two groups of albumin、prealbumin and globulin both pre-operation and the first day after operation (P>0.05); but the differences of albumin, prealbumin and globulin in 7 days after operation were statistically significant (P<0.05); the length of postoperative hospital stay of the Clinomel group was shorter than the control group, the difference was statistically significant (P<0.05). Conclusions Reasonable application of “Clinomel” for parenteral nutritional support therapy was beneficial to improve the nutritional status after radical operation of colorectal cancer, shorten postoperative hospital stay and improve the quality of life of patients.