摘要
目的探讨肠内营养在胃排空障碍治疗中的作用。方法29例胃肠手术后胃排空障碍患者中,有9例应用促胃动力药(胃动力药组),20例利用鼻肠管或空肠造瘘管灌注能全素或能全力施行肠内营养(肠内营养组)。比较两组胃肠减压量、胃排空障碍恢复时间及并发症发生率。分别检测比较两组治疗前后血清白蛋白、转铁蛋白、淋巴细胞计数、体重及氮平衡,评估肠内营养的疗效。结果经治疗后与胃动力药组比较,肠内营养组胃排空障碍恢复时间平均缩短(7±2)d,并发症发生率降低13%。治疗后肠内营养组血清白蛋白平均升高4.8g/L,转铁蛋白平均升高0.82g/L,淋巴细胞升高0.7×109/L,体重平均增加4.5kg,氮平衡平均升高6.15g/d。结论肠内营养能有效治疗胃排空障碍及降低并发症发生率。
Objective To explore the role of enteral nutrit ion in the treatment of gastroparesis.Methods Nine cases of gastroparesis received gastrodynamic drugs.Twenty cases of gastroparesis underwent enteral nutrition through jejunostomy tube or bengmark tube.Indexes of two groups including gastrointesti nal decompression amount,recovering t ime,morbidity,serum albumin,tran sferrin,lymphocyte count,body weight and nitrogen balance were evaluated before and after treatment.Results Compared with gastrodynamic drugs group,gastrointestinal decompression amount decreased significantly,average recovering time was shorten by(7±2)days and morbidity rate decreased by13%in enteral nutrition group.Seru m albumin,transferrin,lymphocyte count,bod y weight and nitrogen balance increa sed averagely by 4.8g /L,0.82g /L,0.7×10 9 /L,4.5kg,6.15g /d respectively in e nteral nutrition group after treatm ent.Conclusion Enteral nutrition can treat gastroparesis a nd reduce its morbidity rate effecti vely.
出处
《中华胃肠外科杂志》
CAS
2002年第3期183-185,共3页
Chinese Journal of Gastrointestinal Surgery
