早期肠内营养在肝移植中的应用

Early enteral support in patients undergoing liver transplantation

目的 探讨肝移植术后早期肠内营养的作用。方法 对比早期肠内营养组 ( 13例 )与对照组 ( 15例 )术后感染率和肠内营养对全胃肠外营养 (TPN)应用时间的影响 ,Fisher’s确切概率法和t检验统计处理。结果 肝移植术后早期肠内营养组的术后感染发生率明显低于对照组( 15 .3 %vs 5 3 .5 % ,P <0 .0 5 ) ;早期肠内营养组较对照组病人TPN的应用时间明显缩短 [( 13 .46± 2 .5 )dvs( 16.87± 3 .2 )d ,P <0 .0 1) ]。结论 肝移植后早期肠内营养对降低术后感染 。

Objective To study the role of early enteral support in patients undergoing liver transplantation.Methods The postoperative infective incidence between the patients receiving early enteral support(13 cases)and those not subject to enteral support(15 cases) was compared.Significance test was done by Fisher's exact probabilities and t-test.Results The infective incidence in the patients undergoing early enteral nutrition was significantly lower than those not subject to early enteral nutrition(15.3%vs 53.5%,P<0.05).The duration of total parenteral nutrition(TPN)in the patients undergoing enteral nutrition was significantly shorter than thos not subject to enteral nutrition(13.46±2.5 days vs 16.87±3.2 days,P<0.01).Conclusion Early enteral nutrition after liver transplantation is very important to decrease infective complications and shorten the duration of TPN.