胃肠术后早期肠内营养支持的临床分析

The clinic analysis of early postoperative enteral nutrition in gastroenteric surgery

目的分析和探讨胃肠术后早期肠内营养支持的可行性。方法40例胃肠术后病人随机分为早期肠内营养(EN)和完全胃肠外营养(TPN)两组,各20例。EN组术后24小时内经鼻肠管输注肠内营养制剂能全力,TPN组经中心静脉进行,共7天。结果EN组均完成肠内营养计划,未发生吻合口瘘和腹腔感染。肠功能恢复时间EN组短于TPN组(P<0.01)。两组切口愈合情况、住院天数无差异(P>0.05)。平均住院费用/药用费用EN组低于TPN组(P<0.05)。结论胃肠术后早期(24小时内)提供肠内营养是安全可行的。与TPN相比,EN促进肠功能恢复快,住院费用低,具有符合生理、安全、有效、价廉等优点。

Objective The purpose of the study was to evaluate the feasibility of early postoperative enteral nutrition （EN） in gastroenteric surgery. Methods Forty patients undergone gastroenteric surgery were divided into two groups randomly. Twenty patients in EN group had a naso-jejunal tube inserted during the operation. The enteral feeding wea started within the first 24 hours postoperatively with Nutrison Fibre and continued for consecutive 7 days. In Twenty patients of TPN group total parnteral nutrition was provided via central venous for 7 days. Results The audible bowel sounds and bowel movement recovered earlier in EN group than in TPN group （ P 〈 0. 01 ） . There were no statistical differences in wound healing complications and duration of hospitalization between the two groups. The overall cost of EN was significantly lower than that of standard TPN （P 〈 0. 05） . Condusion The early postoperative EN was well tolerated in the patients undergone gastroenteric surgery. In comparision with TPN, EN may help to maintain the bowel function and gut barrier integrity.