胃切除术后早期肠内营养滴注的临床观察

Clinical Observation of Early Enteral Nutrition Infusion after Gastrectomy

目的观察胃切除术后早期肠内营养对患者术后恢复情况的影响。方法将87例行近端胃大部切除手术或全胃切除术患者,随机分成3组,A组术后立即给予肠内滴注自配营养液,B组术后肛门排气再肠内滴注自配营养液,C组给予肠外营养。观察三组患者术后情况以及住院期间营养费用等。结果三组患者术后腹胀、腹痛、肺部感染及腹泻的发生率比较均无明显差异(P>0.05);均未出现肠梗阻和胃肠道出血;肛门排气排便时间和住院时间营养费A组与B、C组比较均有显著性差异(P<0.05)。结论对全胃或近端胃大部切除术后的患者早期给予肠内营养,不但能促进肠道功能的恢复,促进肛门排气排便,而且能明显减少患者住院期间营养费用,值得在临床治疗中推广使用。

Objective To observe the effect of early enteral nutrition infusion on the rehabilitation of patients underwent gastrectomy.Methods 87 patients who received proximal gastrectomy or total gastrectomy were randomly divided into 3 groups. Group A received enteral nutrition infusion immediately after operation ,group B received enteral nutrition infusion after passing gas,and group C received parenteral nutrition .Postoperative situation and nutrition expenses during hospitalization of the 3 groups were observed.Results In the3 groups,there was no significant difference in the occurrence of abdominal distension ,abdominal pain,pulmonary infection and diarrhea ( P >0.05).No intestinal obstruction and gastrointestinal bleeding occurred in the 3 groups.Compared group A with group B and C ,there were significant differences in the anal exhaust time and nutrition expenses during hospitalization(P<0.05).Conclusion For the patients who received total gastrectomy or proximal gastrectomy ,early en-teral nutrition can not only promote the recovery of intestinal function and the anal exhaust defecation ,but also can reduce the nu-trition expenses during hospitalization .It is worthy of clinical application .