摘要
目的：探讨对胃肠术后早期肠内营养的可行性。方法：将68例行胃、结肠、直肠手术患者随机分成两组，实验组36例术后24h内提供早期肠内营养（EN），对照组32例术后3-11d给予肠外营养支持（TPN），比较两组营养指标、并发症、肠道通气时间、伤口愈合情况及住院天数。结果：对照组前白蛋白术后第7天较术前有明显下降（P〈0．05），术后第12d较术后第7d有明显上升（P〈0．01），实验组术后第7天，第12天前白蛋白（PA），纤维连接蛋白（rN）均明显高于对照组，术后并发症明显减少（P〈0．05），通气时间、住院天数明显缩短（P〈0．01），刀口均早期愈合（P〈0．01）。结论：肠内营养具有经济实惠，简单易行，并发症少，安全可行等优点，值得推广应用。
Objective ： To study the feasibility of early enteral nutrition after gastrointestinal operation. Methods ： 68 patients who respectively had operation on stomach, colon and rectum were randomly divided into experiment group （n = 36） and control group （n =32）. The early enteral nutrition was given within 24 hours in the experiment group while parenteral nutrition was given in the 3rd - 11th postoperative days in the control group. The index of nutrition, complication, the time of exhaustion, healing of wound and days of hospitalization were compared. Results： Prealbumin reduced obviously in the 7th postoperative day compared with that before operation （ P 〈 0.05 ）, and prealbumin apparently increased in the 12th postoperative day than that in the 7th day （ P 〈 0. 01 ） in the control group. PA and FN in the 7th and 12th day were respec- tively higher in the expernnent group than that in the control group ; complication decreased （ P 〈 0. 05 ）. The duration of exhaustion and hospitalization were shortened and wound healed at the early stage （P 〈 0. 01 ）. Conclusion： Enteral nutrition is economy, simple, safe and has less complication. The method is worthy of application clinically.
出处
《齐鲁护理杂志》
2006年第05B期895-896,共2页
Journal of Qilu Nursing
关键词
胃肠术
肠内营养
肠外营养
监测
护理
Gastrointestinal operation
Enteral nutrition
Parenteral nutrition
Monitoring
Nursing
