摘要
为观察肠道术后早期肠内营养对预防医源性肠饥饿综合征并改善患者营养状况的作用，将50例肠道手术患者随机分为观察组和对照组，每组25例。对照组患者术后采取全肠外营养支持，观察组患者于术后24h开始给予早期肠内营养，共维持1周。并于术前、术后7d观察两组患者的体重、血清白蛋白、血清前白蛋白、血清转铁蛋白等营养状况指标，以及肛门排气时间、排便时间等肠道功能指标。结果显示，观察组和对照组手术前后营养状况均有显著性差异（P〈0．05），手术后营养状况组间比较差异无统计学意义（P〉0．05）；观察组患者术后肠道功能恢复时间较对照组明显缩短（P〈0．05）。结果表明，与肠外营养相比，肠道术后早期肠内营养在改善患者营养状况方面疗效相当，但在促进肠蠕动恢复、预防医源性肠饥饿综合征方面的效果优于肠外营养。
In order to observe the role of early intestinal postoperative enteral nutrition in preventing iatro- genic intestinal hunger syndrome and improving the patients＂ nutritional status, 50 intestinal surgical pa- tients were randomly divided into observation group and control group,25 patients for each. Total parenter- al nutrition support was given to the observation group,while early enteral nutrition to the control group 24 hours after surgery for a total of one week. Both groups were observed for body weight,serum albumin, serum prealbumin, serum transferrin and other nutritional indicators as well as time for flatus,defecation, and other intestinal function indicators before and seven days after surgery. The results showed that preop- erative nutritional status were significantly different in both groups（ P 〈0.05）, no statistical differences was found in postoperative nutritional status between the two groups（ P 〉0. 05）;the observation group had an obviously shorter return time for intestinal function than the control group（ P 〈0.05）. It is conclu- ded that compared with total parenteral nutrition support,early intestinal postoperative enteral nutrition has similar efficacies in improving the patients＇ nutritive condition, but was superior in promoting bowel movement and preventing iatrogenic intestinal hunger syndrome.
出处
《中国肛肠病杂志》
2012年第9期24-26,共3页
Chinese Journal of Coloproctology
关键词
肠道术后
肠内营养
医源性肠饥饿综合征
Intestinal postoperative condition
Enteral nutrition
Iatrogenic intestinal hunger syndrome
