摘要
目的:探讨不同肠道营养方式对腹部手术后胃瘫综合征的疗效。方法:收集腹部手术后出现胃瘫综合征患者35例的临床资料,其中单纯进行全肠外营养(TPN)的患者13例,经过TPN 1周左右后改为肠内营养(EN)的患者10例,单纯进行EN的患者12例,对比分析三组患者治疗前、治疗1周及治疗2周时体重(BW)、总蛋白(TP)、白蛋白(ALB)、胃肠减压量以及胃瘫治愈所需时间。结果:单纯EN组患者营养指标、胃肠减压量以及胃瘫恢复所需时间均优于单纯TPN组和TPN+EN组患者。结论:肠内营养维持了肠道功能,加快了胃瘫恢复。
Objective: To explore the curative effects of different enteral nutrition ways on gastropare- sis syndrome after abdominal surgery. Methods: Clinical data of 35 patients with gastroparesis syn- drome after abdominal surgery were collected. Thirteen cases of them were treated with total parenteral nutrition (TPN), 10 cases were treated with TPN for 1 weeks and then changed to enteral nutrition (EN), 12 eases were only treated with EN. Body weight (BW), total protein (TP), albumin ( ALB), the gastrointestinal decompression amount, and time needing for gastroparesis cure of patients in the three groups before treatment, in 1 week and 2 week after treatment were compared. Results: The parameters mentioned above of patients in EN group were superior to simple TPN group or TPN for 1 week changed to EN group. Conclusions: EN can maintain intestinal function, speed up the stomach paralysis restore and deserve clinical expansion.
出处
《贵阳医学院学报》
CAS
2012年第6期645-647,共3页
Journal of Guiyang Medical College
关键词
全胃肠外营养
胃瘫综合征
手术后期间
腹部
parenteral nutrition, total
gastroparesis syndrome
postoperative period
abdominal