摘要
目的探讨肝移植术后早期肠内营养支持治疗方案及其效果。方法回顾性分析我院2008年1月至2011年10月86例行早期肠内营养支持治疗的肝移植患者的临床资料。所有患者均于术后第一天拔除胃管，并逐步过渡到正常饮食。同期术后行肠外营养支持并逐步过渡到正常饮食的患者作为对照组（n=112）。将两组资料进行比较。结果肝移植术后早期肠内营养比肠外营养更有利于患者肝功能的恢复[第7天丙氨酸转氨酶（45．2±12．9）U／L，天冬氨酸转氨酶（40．2±9．4）U／L，P〈0．05）]，改善患者的营养状况[第7天白蛋白（35．6±2．5）g／L，P〈0．051，且早期肠内营养能减少住院费用，缩短住院时间[（14．2±3．4）d，P〈0．051。结论肝移植术后早期施行肠内营养能明显改善肝移植患者的预后，且安全可行。
Objective To explore the clinical value and safety of early enteral nutrition support in patients after liver transplantation. Methods We retrospectively analyzed the clinical data of 86 ca- ses who used early enteral nutrition support therapy after liver transplantation between January 2008 and October 2011. All of patients were uproot the gastric tube at the first day after the operation, and gradual to the normal diet. The patients who used parenteral nutrition support therapy were as the control group（n= 112）. Then we compared the data of patients in the two groups. Results The early enteral nutrition is more useful to the patients after liver transplantation than intravenous nutrition [In the seventh day after the operation, the control group＇s ALT was （45.2 ± 12.9） U/L, AST was （40.2±9.4） U/L, ALB was （35.6±2.5） g/L, P〈0.05]. The early enteral nutrition also can de- crease hospital stay and hospital costs [（14.2±3.4） d,P〈0.05]. Conclusion The early enteral nutri- tion is useful and safe to the patients after liver transplantation.
出处
《中华肝胆外科杂志》
CAS
CSCD
北大核心
2012年第9期692-695,共4页
Chinese Journal of Hepatobiliary Surgery
关键词
肝脏移植
肠内营养
肠外营养
术后恢复
Liver transplantation
Enteral nutrition
Parenteral nutrition
Post-operation recovery
