摘要
[目的]探讨消化道手术后早期应用肠内营养支持对患者预后的影响。[方法]将外科消化道手术病人随机分成两组,每组30例,治疗组术后1 d开始肠内营养支持,经营养泵鼻饲持续滴入营养液,营养液热量从每日1 255 KJ（300 kcal）开始,逐步增加至6 276 KJ/d（1 500 kcal/d）,液体量为500-2 500 ml/d,供氮量为0.12-0.19g/kg.w,对照组以外周静脉营养为主,14 d后测定上臂肌围、三头肌皮褶厚度、血清总蛋白、白蛋白、血红蛋白、前白蛋白、淋巴细胞计数及血糖和肝、肾功能,并进行统计分析。[结果]两组治疗后白蛋白、前白蛋白均有明显升高,两组间比较三头肌皮褶厚度、前白蛋白、血红蛋白治疗后差异有统计学意义（P﹤0.05）。对照组术后14 d血糖升高较明显（P﹤0.05）,肝肾功能两组差异无统计学意义。[结论]消化道手术后患者早期给予肠内营养支持更符合其生理需要,有利于改善机体营养状况,控制血糖,减少感染,促进康复。
[Objective] To investigate the effects of early enteral nutrition （EN） support on patients after digestive tract operations. [ Methods] 60 patients were randomized into two groups. The treatment group was siren EN （Caloric I255-6 276 KJ/d, Nitrogen 0.12-0.19 g/kg.w）,and the control group was applied peripheral venous nutrition （PVN）. The MAMC, TSF, TP, ALb, Hb, PRb, LY, blood glucose, liver function and kidney function were analyzed. [Results]The ALb and PRb increased significandy in both groups （P〈 0.05）. There were significant differences in TSF, PRb and Hb between the two groups （P 〈 0.05） . The blood glucose in the control group increased obviously （P 〈 0.05）. [Conclusion] Early use of enteral nutrition after digestive tract operation can improve the nutritional status, and recovery, of bowel movement, which has benefit to blood glucose control and decrease of infection.
出处
《现代预防医学》
CAS
北大核心
2007年第15期2975-2976,2978,共3页
Modern Preventive Medicine
关键词
消化道手术
早期肠内营养
营养状况
血糖
Digest tract operation
Early enteral nutrition
Nutrition status
Blood glucose
