肠内营养在食管破裂病人治疗中的应用

The effect of enteral nutrition on the patients suffered from esophageal rupture

目的:尝试解决食管破裂术后病人的营养不良问题,使病人得以顺利康复。方法:本组病人通过术中留置鼻肠管给予肠内营养(谷氨酰胺(生长激素,术后肠内营养直至病人可以正常进食。测得术前、术后第1、5、8和12天外周血转铁蛋白、前清蛋白、清蛋白含量,结果采用组内比较。结果:27例病人全部康复出院,无一例死亡。转铁蛋白、前清蛋白和清蛋白均于术后第1天明显下降(P<0.05),术后第5天恢复至术前水平。转铁蛋白和前清蛋白于术后第8天开始明显优于术前水平(P<0.05)。结论:食管破裂病人给予肠内营养支持治疗能降低手术风险,术后恢复顺利。

Objective：Enteral nutrition was used to correct the malnutrition in the patients suffered from esophageal rupture postoperatively. Methods：The naso intestinal tube was placed during operation and the enteral nutrition was used postoperatively. The albumin, prealbumin and transferrin were measured before and dayl, 5, 8 and 12 after operation. Results ： All 27 patients were discharged with no death. Albumin, prealbumin and transferrin decreased on the 1^st day postoperatively and reached the preoperative level on the fifth postoperativeday. Conclusion：Enteral nutrition plays an important role in the postoperative treatment for esophageal rupture.