膳食纤维在胃肠道肿瘤术后肠内营养中应用的临床观察被引量：19

Usefulness of Fiber-supplemented Enteral Formula in Postoperative Patients with Gastrointestinal Neoplasm

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摘要目的 :探讨膳食纤维 (DF)在胃肠道肿瘤术后病人肠内营养中的应用及其对腹泻的影响。　方法 :将 32例胃肠道肿瘤术后病人 ,分为含膳食纤维肠内营养组 (FSF组 )和不含膳食纤维肠内营养组 (FFF组 ) ,每组 1 6例。于肠道功能恢复后开始行肠内营养支持 ,连续 6天。观察病人腹胀、腹痛、恶心、呕吐等胃肠道症状 ,使用HartandDobb腹泻量表记录每天排便情况。术前及肠内营养结束后第 2天 ,空腹测定血常规、肝肾功能、前清蛋白、转铁蛋白。　结果 :两组病人腹泻评分最高都出现于肠内营养第 4天 ,FSF组平均评分和总腹泻天数均低于FFF组 (P <0 .0 5 ) ,腹泻发生率无显著性差异 (P >0 .0 5 ) ,FSF组腹胀发生率较FFF组高 (P <0 .0 5 )。两组术后清蛋白、前清蛋白、转铁蛋白和淋巴细胞总数均有显著下降 (P <0 .0 5 ) ,组间比较无显著性差异。　结论 :胃肠道肿瘤术后病人含DF肠内营养 ,对维持机体重要脏器功能和营养状态与不含DF肠内营养效果相似 ,但耐受性更好 ,可缩短肠内营养过程中腹泻天数。 Objectives: To explore the clinical effects of enteral nutrition with dietary fiber on diarrhea and nutritional status in postoperative patients withgastrointestinal neoplasm. Methods: Thirty two patients withgastrointestinal neoplasm were separated into fiber supplemented formula group ( n =16) and fiber free formula group ( n =10)following operation. Diarrhea was assessed with Hart and Dobb diarrhea score daily. A series parameters including blood cell count, renal and liver functions, electrolytes, prealbumin and transferrin were measured before and after nutritional therapy. Results: The fiber supplemented formula group had less days with diarrhea (7/90 vs 17/90, P < 0.05 ) and a lower mean diarrhea score (4.79 6.18 vs 7.44 7.85, P <0.05), but a higher occurrence of flatulence. The nutritional status were similar. Conclusions: Enteral nutrition supplemented with dietary fiber is beneficial in reducing the days with diarrhea and improving the character of stool.

作者杨纲伍晓汀张波周勇张明鸣庄文王颖莉何涛达明绪钱昆

机构地区四川大学华西医院普通外科

出处《肠外与肠内营养》 CAS 2004年第4期212-215,共4页 Parenteral & Enteral Nutrition

关键词膳食纤维胃肠道肿瘤肠内营养 DF 腹泻 Enteral nutrition Dietary fiber Gastrointestinal neoplasm

分类号 R735 [医药卫生—肿瘤]

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