摘要
目的探讨肠液回输对唇状瘘患者肠内营养物质吸收的影响。方法收集2003年7月到2005年1月期间收治的10例唇状瘘患者,所选病例均符合以下条件:肠道功能基本恢复,均为唇状瘘,且腹腔感染得到基本控制,完全依赖肠内营养,肠液回输肠襻的长度>50 cm。分别测定肠液回输前后糖、脂肪及氮的累计吸收系数。同时检测血清相关蛋白水平。结果肠液回输前后,患者对糖的吸收率分别为(78．78±16．13)％和(92．14±8．73)％,对脂肪的吸收为(67．25±12．72)％和(87．13±3．58)％,对氮的吸收为(65．46±16．32)％和(85．45±10．74)％,肠液回输前后的吸收系数有明显上升(P<0．05),患者相关血清中纤维连接蛋白、转铁蛋白水平有明显的增加(P<0．01, P<0．05)。结论肠液回输能明显改善肠外瘘患者对肠内营养物质中糖、脂肪和氮的吸收。
Objective To observe the effect of succus entericus reinfusion （SER） on nutritional absorption in patients with stomal type fistulas. Methods Ten cases of stomal fistulas from July 2003 to January 2005 were enrolled in the study. All patients were under these conditions： gut function resumed, with stomal type fistulas, abdominal infection under control, with more than 50 cm of intestine for succus entericus reinfusion, and total enteral nutrition （TEN） successfully administrated. Feces were collected and fecal nitrogen, fat, carbohydrate contents were determined, and related serum protein levels were measured. Results The rate of absorption of nitrogen （65.46± 16. 32） % vs. （ 85.45±10. 74） %, fat （ 67.25± 12.72）% vs. （87. 13±3.58）% and carbohydrate （78.78±16.13）% vs. （92.14±8.73）% increased during succus entericus reinfusion （P 〈 0.05 ）, and serum protein levels increased significantly. Conclusions Succus entericus reinfusion was effective in improving the absorption of nitrogen, fat and carbohydrate in patients of stomal type fistulas.
出处
《中华普通外科杂志》
CSCD
北大核心
2006年第10期724-726,共3页
Chinese Journal of General Surgery
关键词
肠外瘘
肠液回输
肠内营养
Enteral fistulas
Succus entericus reinfusion
Enteral nutrition
