胃肠术后行早期肠内营养42例效果观察

Observation of the effect of early enteral nutrition on 42 patients with gastrointestinal surgery

目的:探讨胃肠术后行早期肠内营养的效果。方法:将81例胃肠术后患者随机分为实验组42例和对照组39例,实验组术后24h给予早期肠内营养,对照组术后第3～11天给予肠外营养支持。观察并比较两组患者的营养指标、并发症、术后肠道通气时间、住院天数等。结果:实验组术后第7、12天前白蛋白和纤维连接蛋白均高于对照组(P<0.05),并发症发生率低于对照组(P<0.05),切口甲级愈合率高于对照组(P<0.05),术后肠道通气时间和住院天数均少于对照组(P<0.05)。结论:胃肠术后行早期肠内营养切实可行,肠功能恢复快,并发症少,安全可靠。

Objective： To explore the effect of early enteral nutrition after gastrointestinal surgery. Methods： 81 patients with gastrointestinal surgery were randomly divided into experimental group （ n = 42 ） and control group （ n = 39 ）. The early enteral nutrition was given to the patients in 24 hours after operation in experimental group and parenteral nutrition support was given to the patients the first 3 to 11 days after operation in control group. The nutritional indicators . complications, the time of postoper- ative bowel ventilation, hospitalization days were observed and compared between the two groups. Results： The prealbumin and fibroneetin on the 7th and 12th day were higher in experimental group than those in control group （P 〈 0. 05 ） ; complication rate was lower than that in control group （ P 〈 0. 05 ） ; class A incision healing rate was higher than that in control group （ P 〈 0. 05 ） ; the time of postoperative bowel ventilation and hospitalization days were shorter than those in control group（ P 〈 0. 05 ）. Conclusion ： The early enteral nutrition after gastrointestinal surgery is feasible, safe and beneficial for the recovery of intestinal function with less complication.