胰十二指肠切除术后经空肠营养管行自制膳食肠内营养支持的临床研究

Jejunal tube enteral nutrition support in patients after pancreticoduedenectomy

目的 探讨胰十二指肠切除术后经空肠营养管给予自制膳食行肠内营养支持治疗效果.方法 回顾性分析我科2006年12月至2010年3月行胰十二指肠切除术60例,其中术中置空肠营养管（肠内营养组,EN组）28例,未置空肠营养管（肠外营养组,PN组）32例,比较两组的肠功能恢复（排气时间）、营养状况（血清白蛋白、总蛋白、前白蛋白）、住院时间、住院治疗费用、术后并发症（吻合口瘘发生率）等方面指标.结果 两组均完成营养支持计划,在住院时间、住院治疗费用、术后营养状况、肠功能恢复时间、术后并发症发生率方面组间比较差异有统计学意义（P〈0.05）.结论 术中留置空肠营养管术后行自制膳食营养支持治疗具有住院时间短、费用低、营养状况改善明显、并发症发生率低等优点.

Objective To study the effect of nutritional support therapy through a jejunal feeding tube in patients after pancreaticoduodenectomy. Methods Clinical data of 60 patients who underwent pancreaticoduodenectomy and were implanted with a jejunal feeding tube during the operation（ enteral nu- trition group, EN, n = 28 ） or not（ （ parenteral nutrition group, PN, n = 32） in our department from December 2006 to March 2010 were retrospectively analyzed. The bowel function（ anal exhaust time）, nutritional status（ serum albumin, total protein,pre -albumin ）, hospital stay and expenses and postoperative complications（ anastomosis fistula）were compared between the two groups. Results Both groups completed nutritional support program. There was significant difference in the hospital stay and expanse ,postoperative nutritional status,bowel function recovery time and postoperative complications between the two groups （P 〈 0.05）. Conclusion Postoperative nutritional support by intraoperatively indwelling jejunal feeding tube can shorten hospital stay, lower hospital cost and complication rate, and improve nutritional status.