摘要
目的 :研究胃切除术后早期肠内营养的临床疗效及安全性、可行性。 方法 :将 2 0例胃切除的病人在术后2 4h给予百普素 ,待肛门排气后改为能全力 ,整个过程持续 10天时间。肠内制剂的投入均通过留置于空肠或十二指肠降部的鼻十二指肠 /空肠管。 结果 :术后第 7天均转入正氮平衡 ,前白蛋白 :术前为 (0 .2 2± 0 .0 3) g/ L,术后第7天为 (0 .2 4± 0 .0 4) g/ L;转铁蛋白 :术前为 (2 .13± 0 .33) g/ L,术后第 7天为 (2 .5± 0 .2 5 ) g/ L。血浆蛋白的术前和术后第 7天的统计学比较均无显著差别。 结论 :早期肠内营养符合生理要求、简便、经济、实用 ,避免了与胃肠外营养相关的并发症 。
Objectives:To study the clinical effect,safety and feasibility of early enteral nutrition after gastrectomy. Methods:Twenty patients received enteral nutrition for 10 days with Pepti 2000(made by Nutricia Co.Ltd.of Netherlands) through naso duodenal or naso jejunal tubes after 24 hours of gastrectomy.Whenever the anus exhaled,Nutrison fibre (made by Nutricia Co.Ltd.of Netherlands) was used instead of Pepti 2000. Results:Serum albumin,prealbumin,and transferrin concentrations were markedly increased on the 7th day after operation.And at the same time,the patients returned to positive nitrogen balance. Conclusions:Early enteral nutrition is an effective,safe,economie and easy way in the patients after gastrectomy.
出处
《肠外与肠内营养》
CAS
2000年第2期72-74,共3页
Parenteral & Enteral Nutrition
