摘要
目的 :探讨全胃切除病人术后营养支持策略。 方法 :1994年 5月至 1997年 5月行全胃切除的病人 113例 (A组 ) ,术后主要依赖肠外营养 ;1997年 6月至 1999年 3月行全胃切除的病人 86例 (B组 ) ,术后早期给予肠内营养 ;1999年 4月至 2 0 0 1年 5月行全胃切除的病人 95例 (C组 ) ,术后早期给予肠内营养 ,而且总热量摄入减少。 结果 :各组病人术前及术后体重、血红蛋白、总蛋白、白蛋白无显著差异 ,B组及C组病人术后肠蠕动恢复时间及营养支持费用显著少于A组病人 ,而C组病人术后营养支持费用又显著低于B组病人。 结论 :全胃切除病人术后合理的肠内营养有助于胃肠道功能恢复 ,不仅减少医疗费 。
Objectives:To investigate the strategy of nutrition support in patients after total gastrectomy. Methods:From May 1994 to May 1997, 113 patients after total gastrectomy were supplied mainly with parenteral nutrition(A group).From June 1997 to March 1999,86 patients after total gastrectomy were supplied with early enteral nutrition(B group).From April 1999 to May 2001, 95 patients after total gastrectomy were supplied with early enteral nutrition and total energy was decreased(C group). Results:There was no significant difference among three group patients in body weight, hemoglobin,total protein and albumin pre and post operation. Bowel movement restoring time and nutrition support expense of patients in B and C group were singificantly less than those in A group. And nutrition support expense of patients in C group was significantly less than that in B group. Conclusions:After total gastrectomy, suitable enteral nutrition may improve gastrointestinal function, reduce medical expense and complication.
出处
《肠外与肠内营养》
CAS
2002年第2期90-93,共4页
Parenteral & Enteral Nutrition
关键词
全胃切除
肠外营养
肠内营养
Total gastrectomy
Parenteral nutrition
Enteral nutrition
