摘要
目的探讨肝移植术后肠内营养的恰当时机。方法将2005年6月至2006年7月实施原位肝移植术的46例患者随机分为实验组(术后第1天给予肠内营养)和常规组(患者肛门排气、胃肠道功能恢复后给予肠内营养),各23例,比较两组患者的术后感染率、胃肠道功能恢复情况、ICU监护时间、营养费用及并发症发生率。结果实验组患者肝移植术后肺部感染率、导管源性感染率、营养费用均显著低于常规组(P<0.05或P<0.01);胃肠道功能恢复时间I、CU监护时间较常规组短(P<0.01);并发症发生率和腹腔感染率两组无统计学差异(P>0.05)。结论肝移植术后第1天给予肠内营养可有效降低肺部和导管源性感染率,促进胃肠道功能恢复,缩短ICU监护时间,降低营养费用。
Objective To understand the best timing for enteral nutrition in patients after liver transplantation. Methods Forty-six patients who received orthotopic liver transplantation from June 2005 to July 2006 were evenly randomized into experimental group（enteral nutrition was give 1 day after operation） and conventional group （enteral nutrition was give after anus gas and recov- ery of gastrointestinal function）. The incidence of post-operation infection, recovery of gastroin- testinal function, the duration of ICU, nutritional expenses, and complications were compared be- tween the two groups. Results The incidences of pulmonary infection and catheter-related infec- tion and nutritional expenses in the experimental group were significantly lower than those of the conventional group（ P〈0.05 or P〈0.01）; the recovery period of gastrointestinal function and the duration of ICU were significantly shorter in the experimental group （ P 〈0.01）; there was no statistical difference in complications and the incidences of abdominal infections between the two groups（ P〉0.05）. Conclusion Giving enteral nutrition on the first day after liver transplan- tation can effectively reduce the incidences of pulmonary and catheter-related infections, promote the recovery of gastrointestinal function, shorten the duration of ICU, and decrease the nutrition- al expenses.
出处
《解放军护理杂志》
2007年第5期13-15,共3页
Nursing Journal of Chinese People's Liberation Army
关键词
肝移植
肠内营养
时机
liver transplantation
enteral nutrition
time
