摘要
目的研究术前应用含膳食纤维的肠内营养对结肠造瘘口还纳患者的营养状况和安全性的影响。方法将2013年9月-2014年6月收治的需行结肠造口还纳术的患者随机分为试验组(20例)和对照组(20例)。两组入院时基线水平一致(P值均>0.05)。试验组术前予以含膳食纤维肠内营养制剂(商品名:瑞先),对照组予以等氮等能量的均浆膳,两组术前均连续服用7 d。检测患者入院时和术后第5天营养相关指标,并观察记录患者首次排气、排便时间,排便情况,腹胀、腹痛等不良反应发生情况。结果两组患者入院时和术后5 d营养相关指标比较,差异无统计学意义(P>0.05)。试验组术后出现腹胀2例,腹痛1例,恶心1例;对照组术后出现腹胀8例,腹痛3例,恶心1例。两组腹胀发生率差异有统计学意义(P<0.05),其余发生率差异均无统计学意义(P>0.05)。术后两组患者均未出现吻合口瘘。试验组术后肛门排气时间明显早于对照组,差异有统计学意义(P<0.05)。试验组术后腹泻发生率明显低于对照组(P<0.05),试验组耐受良好明显高于对照组(P<0.05)。结论术前应用含膳食纤维的肠内营养制剂安全、可行,膳食纤维有助于术后患者肠道功能及早恢复,减少术后不良反应的发生。
Objective To investigate the influence of preoperative enteral nutrition with dietary fiber on the nutritional status of patients with colon colostomy diaplasis,and discuss its safety.Methods Forty preoperative colon colostomy diaplasis patients from West China Hospital treated between September 2013 and June 2014 were randomly assigned into trial group and control group with 20 in each.The baseline of the two groups was the same（all P 〉0.05）.The trial group was given enteral nutrition with dietary fiber before operation for seven days,while control group was given homogenate diet with equal quantity of energy and nitrogen content for the same period of time.All patients were being tested for nutritional indexes on the day of admission and on the i t Thday at er surgery.Meanwhile,other indexes such as the first time of l atus and defecation,abdominal distension,bellyache,and other adverse reactions were recorded too.Results There was no statistical dif erence in nutritional indexes on the day of admission and on the i t Thday at er surgery between two groups（P 〉0.05）.Patients with dietary fiber had significantly higher incidence of abdominal distension than the control subjects（P 〈0.05）,but other adverse reactions had no statistical dif erences between the two groups（P 〉0.05）.No anastomotic leakage occurred in both the two groups.Patients with dietary fiber had signii cantly earlier time of l atus than the control group（P 〈0.05）.Patients with dietary fiber had signii cantly lower incidence of diarrhea than the control subjects（P 〈0.05）.Conclusions The study suggests that it is safe and feasible to use enteral nutrition with dietary fiber for preoperative colon colostomy diaplasis patients.Using dietary fiber is helpful for intestinal function recovery and reduction of the occurrence of adverse reactions at er surgery.
出处
《华西医学》
CAS
2016年第4期671-674,共4页
West China Medical Journal
关键词
膳食纤维
结肠造瘘口还纳
肠内营养
肠道功能恢复
Dietary fiber
Colon colostomy diaplasis
Enteral nutrition
Intestinal function recovery
